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Georgia rates for HCPCS A4415

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity Larger Than 4 X 4 Inches Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $5.30 / $5.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.30 / $6.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $5.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.96 / $15.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $7.12 / $13.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $9.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $8.38 / $15.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.00 / $6.90