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Georgia rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.03 / $33.03 / $33.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $33.03 / $41.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $43.37 / $99.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $52.16 / $102.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $44.34 / $44.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $52.16 / $74.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $24.93 / $43.90