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Georgia rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $14.27 / $14.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $14.54 / $18.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $18.73 / $42.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $21.80 / $36.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $21.80 / $21.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $29.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $22.55 / $40.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $10.77 / $18.55