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Tennessee rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.12 / $4.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.45 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $24.60 / $37.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.29 / $2.99