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Connecticut rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), 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
$2.14 / $2.14 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.16 / $4.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.19 / $3.02