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Georgia rates for HCPCS A4312

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.57 / $13.57 / $13.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $13.58 / $17.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $17.82 / $40.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $21.42 / $39.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $28.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $21.42 / $38.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $10.69 / $17.64