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Tennessee rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.49 / $2.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $35.33 / $36.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.10 / $1.65