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Georgia rates for HCPCS A4390

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.50 / $10.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $11.16 / $25.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $11.40 / $21.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $11.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $15.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $13.41 / $17.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $6.41 / $11.16