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Connecticut rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.34
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.63 / $3.63
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.82 / $2.51