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Connecticut rates for HCPCS A5063

Ostomy Pouch Drainable; For Use On Barrier With Flange (2 Piece System) Each Ly. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.43 / $2.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.27
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.46 / $2.46
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.65 / $3.48
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $133.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.88 / $2.34