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New Hampshire rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Facilitymedian $6 · 10th–90th $5–$70%20%40%10th90th$6Professionalmedian $7 · 10th–90th $4–$90%20%10th90th$7$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.13 / $8.71
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.76 / $11.75