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Louisiana rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.70 / $4.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.70 / $5.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $9.89 / $13.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.72 / $4.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.16 / $4.75