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Georgia rates for HCPCS A4383

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

Facilitymedian $24 · 10th–90th $14–$260%50%10th90th$24Professionalmedian $25 · 10th–90th $19–$400%10%10th90th$25$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $51.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $26.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.62 / $34.67