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Georgia rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.96 / $7.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.82 / $17.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $9.41 / $15.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $8.74 / $8.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $11.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $9.41 / $16.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $4.69 / $9.25