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Georgia rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $784.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $727.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $1,398.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $673.11 / $713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $908.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.74 / $1,280.74 / $1,889.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $1,319.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.26 / $1,901.76 / $1,901.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $1,177.28