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Tennessee rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.82 / $2.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.59 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $21.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.34 / $1.76