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Connecticut rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $42.79 / $42.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $42.79 / $47.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $39.94
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.21 / $43.21 / $43.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $46.54 / $61.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.76 / $31.76 / $31.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.31 / $32.14 / $41.20