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Georgia rates for HCPCS Q4248

Dermacyte amniotic membrane allograft, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $610.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $566.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $1,088.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $523.78 / $555.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $707.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.00 / $2,290.75 / $2,290.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $1,027.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $2,479.94