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Louisiana rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $12.11 / $12.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $12.11 / $13.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.92 / $25.48 / $35.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $12.17 / $12.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.97 / $12.13