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Louisiana rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.14 / $46.99 / $46.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.14 / $46.99 / $52.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.87 / $98.86 / $138.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $47.20 / $47.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $45.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $49.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $30.67 / $43.44