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Tennessee rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $1.97 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.42 / $3.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.43 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.73 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $28.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.78 / $2.44