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Tennessee rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $4.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.21 / $5.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.99 / $5.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $49.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.09 / $4.03