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Georgia rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.27 / $1.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.67 / $3.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.71 / $3.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.00 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.96 / $1.66