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Louisiana rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.70 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.70 / $6.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $11.98 / $16.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.72 / $5.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.61 / $5.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.76 / $5.32