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Louisiana rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $3.31 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.31 / $3.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.96 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.33 / $3.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.15 / $3.05