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Connecticut rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $15.44 / $15.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $15.44 / $17.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $9.78 / $13.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $15.59 / $15.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $16.79 / $22.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $11.47 / $11.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $11.07 / $14.85