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Georgia rates for HCPCS A5057

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $8.50 / $10.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $11.89 / $24.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $18.77 / $23.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $13.41 / $18.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $15.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $13.41 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $6.70 / $11.87