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Connecticut rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.48 / $2.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.31
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.50 / $2.50
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.70 / $3.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.86 / $2.38