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Tennessee rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.91 / $2.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.38 / $23.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.42 / $1.98