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Louisiana rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $9.75 / $9.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $9.75 / $10.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.01 / $20.51 / $28.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $9.78 / $9.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $9.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $6.36 / $9.01