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Tennessee rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.86 / $5.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $5.48 / $5.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.33 / $30.33 / $45.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.37 / $3.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.84 / $3.71