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Georgia rates for HCPCS A5072

Ostomy pouch, urinary; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $4.07 / $6.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.45 / $3.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.01 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.91 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.34 / $4.37