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New Hampshire rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.66 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.76 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.69 / $1.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.50 / $3.19