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Georgia rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.30 / $23.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $7.68 / $9.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.95 / $7.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $9.59 / $21.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $11.53 / $18.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $13.57 / $17.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $15.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $11.53 / $20.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $5.63 / $9.59