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Tennessee rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $7.53 / $10.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $10.71 / $10.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.16 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $59.26 / $89.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.53 / $7.24