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Georgia rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $11.21 / $11.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $11.21 / $14.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $14.72 / $33.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.93 / $25.67 / $38.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.93 / $14.93 / $14.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $21.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $17.70 / $23.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.46 / $14.56