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Georgia rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.39 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $3.14 / $6.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.78 / $6.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.78 / $5.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $4.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.78 / $5.32
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.65 / $891.65 / $891.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.78 / $3.11