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Louisiana rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $5.92 / $5.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.92 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.29 / $12.45 / $17.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $5.95 / $5.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.90 / $6.00