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Connecticut rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.33 / $1.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.46 / $2.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.00 / $1.29