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Louisiana rates for HCPCS A5057

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $9.49 / $9.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $9.49 / $10.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $19.96 / $28.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.52 / $9.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.06 / $187.06 / $187.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $7.74 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.19 / $10.32