go back

Georgia rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.10 / $42.10 / $42.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $42.10 / $53.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $55.28 / $126.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.51 / $66.48 / $130.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $56.51 / $56.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $75.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.52 / $66.48 / $119.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $31.79 / $55.28