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Georgia rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.31 / $1.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.73 / $3.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $2.92 / $4.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.08 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.99 / $1.73