go back

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
$7.35 / $7.35 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $7.35 / $8.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $6.86
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.99 / $10.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.69 / $6.44