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Louisiana rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $6.55 / $6.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.55 / $7.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $13.77 / $19.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.75 / $5.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $8.69 / $8.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.73 / $6.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $4.30 / $6.56