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Connecticut rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two 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 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.62
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.82 / $2.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.26 / $1.70