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Tennessee rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.60 / $2.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.27 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $18.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.18 / $1.62