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Georgia rates for HCPCS A4358

Urinary Drainage Bag Leg Or Abdomen Vinyl With Or Without Tube With Straps Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.75 / $7.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.68 / $5.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $7.54 / $17.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $7.88 / $16.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $10.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $9.07 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.36 / $7.46