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Connecticut rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.55 / $2.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.05 / $1.45