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Louisiana rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $5.44 / $5.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $5.44 / $6.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $11.45 / $16.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $5.47 / $5.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.58 / $5.01