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Tennessee rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $6.32 / $7.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.55 / $10.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $11.02 / $11.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $8.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.85 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.96 / $60.96 / $91.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $5.58 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $5.69 / $7.45