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Louisiana rates for HCPCS A4328

Female External Urinary Collection Device; Pouch Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $9.06 / $11.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $21.03 / $29.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $8.77 / $8.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $6.72 / $10.11