go back

Tennessee rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $20.35 / $25.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $24.94 / $34.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $35.44 / $35.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $22.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.94 / $184.95 / $187.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $196.11 / $295.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $18.30 / $24.66