go back

Tennessee rates for HCPCS A4372

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.71 / $5.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.28 / $5.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $3.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $29.23 / $44.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.72 / $3.55