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New Hampshire rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.17 / $3.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.28 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.23 / $3.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.76 / $6.08