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Georgia rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $41.69 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $54.95 / $87.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $25.70 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $31.62 / $57.54