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Georgia rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $94.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $91.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $175.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $84.67 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $114.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $73.42 / $156.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.57 / $166.03 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $183.09