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Georgia rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.49 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $18.62 / $27.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.18 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $25.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $22.39 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.71 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.47 / $19.05