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Tennessee rates for HCPCS A4358

Urinary Drainage Bag Leg Or Abdomen Vinyl With Or Without Tube With Straps Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.05 / $7.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $7.09 / $7.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $6.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.16 / $46.16 / $65.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.85 / $5.69