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Tennessee rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.95 / $26.95 / $33.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.69 / $33.03 / $45.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $46.94 / $46.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $34.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.50 / $245.00 / $247.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.76 / $259.76 / $391.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.66 / $24.25 / $31.73