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Georgia rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Facilitymedian $3 · 10th–90th $2–$70%20%40%10th90th$3Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $4.17 / $6.46
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $7.94
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.31 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.95 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.40 / $4.37