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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
$5.09 / $5.09 / $5.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $5.09 / $6.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $7.14 / $14.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $8.05 / $15.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $6.84 / $6.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $8.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $8.05 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.01 / $7.20