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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.86 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $5.47
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $6.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.38 / $8.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.28 / $5.64