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Connecticut rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $5.39 / $5.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $5.45 / $5.45
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.87 / $7.71
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.97 / $5.19