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Connecticut rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.43 / $2.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.27
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $5.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.65 / $3.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.82 / $2.34