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Connecticut rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Facilitymedian $3 · 10th–90th $3–$30%50%10th$3Professionalmedian $2 · 10th–90th $2–$40%20%10th90th$2$1.0$2.0$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.45 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.47 / $4.27
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.47 / $5.25
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.29 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.34 / $4.07