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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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.74 / $2.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $2.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.14 / $2.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.81 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.00 / $1.82