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Connecticut rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.45
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.69 / $3.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.86 / $2.40