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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
$27.54 / $27.54 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $29.51 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $17.38 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $26.30 / $45.71
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $56.23