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Connecticut rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $6 · 10th–90th $5–$60%50%10th90th$6Professionalmedian $6 · 10th–90th $4–$90%10%10th90th$6$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.41 / $8.91
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.24 / $10.96
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.90 / $8.51