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Georgia rates for HCPCS A4315

Insertion Tray With 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
$19.84 / $19.84 / $19.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $20.88 / $26.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $26.04 / $59.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.32 / $31.32 / $61.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.32 / $31.32 / $31.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $41.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $31.32 / $56.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $15.49 / $26.38