go back

Louisiana rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $30.36 / $30.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $30.36 / $33.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $63.88 / $89.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $30.50 / $30.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $27.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $31.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $19.98 / $35.02