go back

Louisiana rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $8.93 / $8.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $8.93 / $9.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.99 / $18.78 / $26.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $8.97 / $8.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $8.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $5.83 / $8.25