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Connecticut rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Facilitymedian $15 · 10th–90th $13$160%50%10th90th$15Professionalmedian $14 · 10th–90th $10$220%10%20%10th90th$14$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$13.49
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$21.38
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$26.92
Health New England
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$11.75
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$19.95