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Louisiana rates for HCPCS A4391

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

Facilitymedian $8 · 10th–90th $4$190%20%10th90th$8Professionalmedian $6 · 10th–90th $4$80%20%10th90th$6$2.0$5.0$10.0$20.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.80 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.57 / $6.03