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Connecticut rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $3 · 10th–90th $3–$40%50%90th$3Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$2.0$5.0$10.0$20.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.37
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.47 / $6.76
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.95 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $5.01