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Louisiana rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.42 / $1.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.42 / $1.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.99 / $4.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.43 / $1.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.21 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.93 / $1.32