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Louisiana rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.75 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.75 / $3.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $5.78 / $8.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.77 / $2.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.20 / $68.20 / $68.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.81 / $2.54