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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
$32.45 / $39.97 / $39.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.45 / $39.97 / $44.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.23 / $84.10 / $118.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $40.15 / $40.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $37.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $33.97 / $40.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $26.09 / $36.96