go back

Tennessee rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.13 / $5.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.24 / $11.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.88 / $5.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $32.52 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.03 / $4.26