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Louisiana rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $6.14 / $6.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $6.14 / $6.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.07 / $6.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $12.91 / $18.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.16 / $6.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $6.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.04 / $5.68