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New Hampshire rates for HCPCS A4328

Female external urinary collection device; pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.89 / $5.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $10.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $13.49