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Georgia rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.88 / $8.88 / $8.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $9.69 / $13.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $12.82 / $30.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $20.34 / $22.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $9.90 / $19.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $18.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $14.03 / $141.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $5.80 / $5.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.99 / $21.24