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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.95 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.37 / $7.59
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $9.33