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Louisiana rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $83.18 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $21.88 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.30 / $34.67