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New Hampshire rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $34.94 / $41.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $32.60 / $39.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.21 / $54.21 / $167.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $33.17 / $40.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.72 / $49.19 / $62.61