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Connecticut rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.51 / $1.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.41
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.64 / $2.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.12 / $1.34