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Connecticut rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $6.62 / $6.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.25 / $6.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.18
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.88 / $8.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.97 / $6.37