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Connecticut rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.18 / $2.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.04
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $2.20 / $2.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.37 / $3.12
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.61 / $2.10