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Georgia rates for HCPCS Q4251

Vim, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.40 / $149.40 / $149.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $149.40 / $153.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $140.59 / $171.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $157.50 / $157.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $192.97 / $239.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $495.00 / $495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $208.64