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Louisiana rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.49 / $3.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.49 / $3.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $7.33 / $10.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.51 / $3.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $86.40 / $86.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.29 / $3.22