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Tennessee rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.42 / $10.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $9.96 / $14.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $14.66 / $14.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $12.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.36 / $85.36 / $128.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.58 / $10.38