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Tennessee rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $5.90 / $7.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $7.23 / $9.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $10.28 / $10.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.87 / $56.87 / $85.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $5.32 / $6.93