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Connecticut rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.32 / $1.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.36
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.44 / $2.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.03 / $1.33