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Connecticut rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $5 · 10th–90th $5–$60%50%90th$5Professionalmedian $5 · 10th–90th $4–$80%20%10th90th$5$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.17 / $8.13
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.76 / $10.23
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.47 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.57 / $7.59