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Louisiana rates for HCPCS A4390

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $9.49 / $9.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $9.49 / $10.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $19.96 / $28.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.52 / $9.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.90 / $217.90 / $217.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.19 / $8.77