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Georgia rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.16 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $4.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.89 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.48 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.82 / $3.31