go back

Louisiana rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.20 / $2.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.20 / $2.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $4.63 / $6.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.04 / $2.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.44 / $2.43