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Georgia rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

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
$2.16 / $3.12 / $3.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.09 / $9.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $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
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
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 / $2.41 / $4.83