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Connecticut rates for HCPCS A4379

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $13.50 / $13.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $13.50 / $14.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $11.82
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $14.69 / $19.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $9.88 / $12.02