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Louisiana rates for HCPCS A4390

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $12 · 10th–90th $6–$350%20%10th90th$12Professionalmedian $8 · 10th–90th $5–$110%10%20%10th90th$8$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.25 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.31 / $8.13