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Tennessee rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.71 / $3.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.86
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
$24.26 / $24.84 / $37.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.00 / $2.99