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Georgia rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $24.94 / $31.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $32.75 / $74.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.47 / $39.38 / $77.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $33.47 / $33.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $39.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $39.38 / $70.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $18.82 / $38.46