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Louisiana rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $5.93 / $5.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $5.93 / $6.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $12.48 / $17.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $5.96 / $5.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.91 / $5.48