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Georgia rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.81 / $3.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $2.89 / $2.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.69 / $8.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $3.71 / $7.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $5.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.44 / $6.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.09 / $3.66