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Connecticut rates for HCPCS A4393

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.13 / $8.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $7.59
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.26 / $8.21 / $8.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $8.84 / $11.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.11 / $7.83