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Louisiana rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $4.62 / $4.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.62 / $5.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $3.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $9.71 / $13.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.63 / $4.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.24 / $97.24 / $97.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.75 / $4.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.06 / $4.26