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Tennessee rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $5.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.09 / $7.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $7.25 / $7.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $60.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.76 / $5.31