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Tennessee rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $7.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $7.40 / $11.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $7.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $10.38 / $10.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $9.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.55 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $67.58 / $101.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $5.63 / $8.25