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Georgia rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.79 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.98 / $11.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.99 / $11.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $6.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $5.99 / $10.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.87 / $4.93