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Louisiana rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.40 / $2.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.04 / $7.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.41 / $2.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.80 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.57 / $2.47