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Louisiana rates for HCPCS A4379

Ostomy Pouch Urinary With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $14.83 / $14.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $14.83 / $16.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $31.21 / $43.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $14.90 / $14.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $9.68 / $13.71