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Louisiana rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.97 / $2.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.97 / $3.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $6.24 / $8.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.98 / $2.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.99 / $3.22