go back

Louisiana rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $9.49 / $9.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $9.49 / $10.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.69 / $19.98 / $28.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.52 / $9.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $9.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.18 / $6.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.20 / $8.77