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Louisiana rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.30 / $4.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.30 / $4.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.75 / $6.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $9.07 / $12.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.32 / $4.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.19 / $152.19 / $152.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $4.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.83 / $3.99