go back

Connecticut rates for HCPCS A5057

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.63 / $9.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $8.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $12.34
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.50 / $88.50 / $88.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $8.26 / $8.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $6.32 / $8.11