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New Hampshire rates for HCPCS A4373

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) With Built-In Convexity Any Size Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.61 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.29 / $5.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $7.14 / $22.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.37 / $5.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.48 / $8.25