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Georgia rates for HCPCS A5071

Ostomy pouch, urinary; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.31 / $5.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $5.31 / $6.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $6.98 / $14.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $7.14 / $13.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $7.14 / $7.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $9.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $8.40 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.01 / $6.98