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Georgia rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.94 / $1,048.94 / $1,048.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $1,048.94 / $1,324.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.60 / $2,319.23 / $6,079.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $141.16 / $2,708.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.92 / $1,408.11 / $3,064.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.11 / $1,408.11 / $1,408.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $1,910.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.00 / $1,656.60 / $2,259.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.80 / $77.70 / $147.59