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Louisiana rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.71 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.71 / $1.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $3.59 / $5.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.71 / $1.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.86 / $265.86 / $265.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.12 / $1.74