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Tennessee rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $4 · 10th–90th $3–$850%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2–$50%20%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.69 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $3.80