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Georgia rates for HCPCS A4416

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

Facilitymedian $2 · 10th–90th $1–$20%50%10th90th$2Professionalmedian $2 · 10th–90th $2–$40%20%40%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.24 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.89 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.51 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.82 / $3.39