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Connecticut rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.04 / $14.04 / $14.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $14.04 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $15.42
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $14.17 / $14.17
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $15.26 / $20.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $10.88 / $13.90