go back

Connecticut rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $4.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.16 / $4.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.88
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.51 / $5.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.13 / $3.99