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Connecticut rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $5.40 / $5.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.04
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.99
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.88 / $7.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.95 / $5.20