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Georgia rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.00 / $3.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.72 / $5.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.57 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.74 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.14 / $3.89