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Connecticut rates for HCPCS A4389

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.59 / $6.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $5.22
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.66
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.07 / $7.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $5.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.09 / $4.96