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Connecticut rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.09 / $3.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.43
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $6.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.37 / $4.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.34 / $2.98