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Tennessee rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $22.19 / $27.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $27.20 / $37.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $38.65 / $38.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $201.75 / $204.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.94 / $213.94 / $322.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $19.98 / $28.32