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Georgia rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $27.20 / $27.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $27.20 / $34.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $35.72 / $81.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.52 / $42.96 / $84.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $36.52 / $36.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $48.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $42.96 / $77.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $20.53 / $35.72