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Tennessee rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.96 / $4.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $3.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.22 / $4.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $23.36 / $35.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.17 / $2.84