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Louisiana rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.04 / $2.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $4.29 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.04 / $2.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.64 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.33 / $2.10