go back

Connecticut rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.56 / $1.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.57 / $1.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.69 / $2.22
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.40 / $83.40 / $83.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.17 / $1.50