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Georgia rates for HCPCS A4311

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $13.10 / $13.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $13.10 / $16.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $17.21 / $38.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $20.70 / $40.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $17.60 / $17.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $23.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $20.70 / $37.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.90 / $17.07