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Louisiana rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $27.84 / $27.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $27.84 / $31.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.28 / $58.57 / $82.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.38 / $27.96 / $27.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $27.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $18.17 / $25.74