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Tennessee rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $5.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $5.31 / $7.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.56 / $7.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $41.83 / $63.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.90 / $5.11