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Georgia rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.12 / $3.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $4.09 / $8.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $4.20 / $7.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $5.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.94 / $7.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.35 / $4.05