go back

Georgia rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, 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
$1.00 / $1.32 / $1.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.73 / $3.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.04 / $3.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.08 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.01 / $1.73