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New Hampshire rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $13.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $10.29 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $17.11 / $52.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.47 / $12.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $15.52 / $19.75