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Connecticut rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.20 / $4.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.93
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.10 / $43.10 / $150.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.16 / $3.73