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Tennessee rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Facilitymedian $3 · 10th–90th $2–$850%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.45 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.86 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.00 / $2.51