go back

Louisiana rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.14 / $3.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.14 / $3.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $6.60 / $9.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.15 / $3.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.41 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.04 / $3.12