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Georgia rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $7.23 / $9.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $9.49 / $21.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.71 / $11.42 / $22.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $9.71 / $9.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $12.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $11.42 / $20.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.46 / $9.41