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Tennessee rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.66 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.66 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.29 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.35 / $1.86