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Tennessee rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.21 / $29.21 / $36.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $35.81 / $49.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $36.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $50.90 / $50.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $35.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $39.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.37 / $265.68 / $268.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.67 / $281.67 / $424.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $26.30 / $34.40