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Tennessee rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.09 / $2.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.05 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.38 / $25.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.57 / $2.06