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Tennessee rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.34 / $34.34 / $42.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $42.10 / $58.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $59.83 / $59.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.87 / $312.25 / $315.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.07 / $331.07 / $498.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.21 / $30.91 / $40.44