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Louisiana rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.69 / $2.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.69 / $3.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $5.67 / $7.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.71 / $2.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.77 / $2.50