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Louisiana rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.84 / $1.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.84 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.86 / $5.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.84 / $1.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.46 / $1.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.21 / $1.86