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Connecticut rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.13 / $11.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.62 / $7.76