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Georgia rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.32 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.92 / $10.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $9.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $8.51 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.24 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.98 / $7.41