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Tennessee rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $4.48 / $5.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.37 / $7.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $5.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $7.80 / $7.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.18 / $43.18 / $65.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $4.04 / $5.29