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Connecticut rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.95 / $5.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.62
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.39 / $7.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.50 / $130.50 / $130.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.72 / $4.76