go back

Louisiana rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.19 / $6.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.19 / $6.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $13.02 / $18.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $6.22 / $6.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.04 / $5.73