go back

Tennessee rates for HCPCS A4410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.41 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $7.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.90 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.89 / $7.41