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Georgia rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.76 / $10.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $9.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $8.13 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.24 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.98 / $7.24