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Louisiana rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $4.57 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.57 / $5.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $9.61 / $13.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.59 / $4.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $4.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.98 / $4.22