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Tennessee rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $3.97 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.87 / $6.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.93 / $6.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $38.35 / $57.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.58 / $4.68