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Louisiana rates for HCPCS A4412

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.67 / $2.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.67 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $5.62 / $7.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.68 / $2.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.27 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $2.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.76 / $2.78