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Georgia rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $4 · 10th–90th $3–$50%20%40%10th90th$4Professionalmedian $5 · 10th–90th $3–$80%20%10th90th$5$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.46 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $9.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.02 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.72 / $6.76