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Louisiana rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.79 / $1.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.79 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $3.77 / $5.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.80 / $1.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.21 / $1.79