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A week after UConn Health’s contract with a major health insurer expired — leaving as many as 15,000 patients potentially facing significantly higher out-of-pocket costs — both sides in the contentious negotiations are standing their ground.

Both UConn Health and Hartford-based insurer Aetna — owned by health care giant CVS Health Corp. — say they hope to reach an agreement that would extend the contract, but each side has accused the other of not making a fair proposal.

Without a new contract, most patients with Aetna coverage seeking treatment from UConn Health’s hospital, clinics and doctors no longer have “in-network” status.

At issue in the negotiations are the reimbursement rates for services that Aetna pays to Farmington-based

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