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Connecticut rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $25.35 / $25.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $25.35 / $27.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $22.16
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $27.57 / $36.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $21.51 / $21.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $19.04 / $24.41