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Georgia rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.00 / $10.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $10.50 / $24.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.74 / $20.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $14.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $12.63 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.04 / $10.40