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Tennessee rates for HCPCS A4412

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.39 / $3.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.40 / $3.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $18.82 / $28.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.76 / $2.49