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Georgia rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $13.28 / $13.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $13.28 / $16.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $17.45 / $39.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $20.98 / $41.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $17.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.98 / $37.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.02 / $17.29