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New Hampshire rates for HCPCS A4371

Ostomy Skin Barrier Powder Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $3.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.50 / $3.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $12.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $4.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.77 / $4.80