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Louisiana rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.72 / $2.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.72 / $3.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $5.72 / $8.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.73 / $2.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.78 / $2.52