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Louisiana rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.93 / $36.86 / $36.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $36.86 / $41.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.40 / $77.56 / $109.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $37.03 / $37.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $24.26 / $36.92