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Connecticut rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.33 / $2.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.33 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.18
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.35 / $2.35
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.52 / $3.33
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $27.52 / $27.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.77 / $2.24