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Georgia rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.86 / $4.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $5.07 / $11.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $5.18 / $9.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $6.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.09 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.35 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.92 / $5.01