go back

Georgia rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.19 / $15.19 / $15.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $15.19 / $19.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $19.95 / $45.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.39 / $23.99 / $47.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $20.39 / $20.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $16.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $24.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $23.99 / $43.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $11.47 / $19.95