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Georgia rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.82 / $2.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.40 / $5.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $2.45 / $4.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $3.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.88 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $2.38