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Connecticut rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.02 / $2.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.89
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.20 / $2.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.57 / $2.98