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Connecticut rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.94 / $43.94 / $43.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $43.94 / $44.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $29.08 / $29.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $34.86
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.38 / $44.38 / $44.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $44.38 / $53.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $33.00 / $45.62