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Tennessee rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two 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
$1.86 / $2.68 / $3.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $21.98 / $32.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.96 / $2.70