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Louisiana rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.71 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.71 / $4.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $7.81 / $10.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.73 / $3.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.44 / $3.43