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Tennessee rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.29 / $3.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.26 / $3.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $27.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.68 / $2.19