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Louisiana rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.56 / $2.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.56 / $2.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $5.38 / $7.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.57 / $2.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $40.38 / $40.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.72 / $2.54