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New Hampshire rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.58 / $22.58 / $27.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $21.07 / $25.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.02 / $35.02 / $108.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $24.60 / $35.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $31.77 / $40.43