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Tennessee rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.31 / $1.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.87 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.70 / $15.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.97 / $1.27