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Connecticut rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.19 / $5.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.16 / $4.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.84
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.23 / $7.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.89 / $4.70