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Georgia rates for HCPCS A5063

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

Facilitymedian $2 · 10th–90th $1–$80%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.16 / $4.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.25 / $6.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.68 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.89 / $5.37
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.48 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.82 / $3.31