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New Hampshire rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.25 / $6.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $11.74 / $11.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $12.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.99 / $6.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.39 / $9.41