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Louisiana rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $9.59 / $9.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $9.59 / $10.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $6.27 / $11.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $20.17 / $28.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $8.41 / $8.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.93 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $6.31 / $9.59