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Tennessee rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $4 · 10th–90th $2–$850%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.39 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.24
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.40 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.75 / $3.47