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Tennessee rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $6.94 / $8.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $8.50 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $12.08 / $12.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.24 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.83 / $66.83 / $100.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.22 / $7.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.25 / $8.18