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New Hampshire rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.41 / $27.41 / $32.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $25.58 / $31.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $26.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.54 / $42.54 / $131.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $26.02 / $29.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $38.58 / $49.10