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Georgia rates for HCPCS A4313

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Three-Way For Continuous Irrigation (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $13.93 / $13.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $15.02 / $18.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $18.29 / $41.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $43.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $15.54 / $16.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $22.00 / $39.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $9.97 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $10.97 / $18.10