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Georgia rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.88 / $2.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.34 / $5.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $2.81 / $4.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.81 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.34 / $2.31