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Georgia rates for HCPCS Q4254

Novafix dl per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $355.88 / $355.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $359.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.10 / $384.00 / $455.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $420.00 / $420.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $1,133.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $192.97 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $556.37