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Tennessee rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.40 / $3.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.51 / $3.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $19.42 / $29.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.81 / $2.43