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Georgia rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.44 / $3.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $3.20 / $7.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.27 / $6.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.27 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $4.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.85 / $6.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.84 / $3.20