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Connecticut rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.82 / $2.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.67
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.85 / $2.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.07 / $3.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.12 / $2.71