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Tennessee rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $10.84 / $13.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $13.28 / $18.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $18.88 / $18.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $13.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $98.56 / $99.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.48 / $104.48 / $157.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $9.76 / $12.77