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New Hampshire rates for HCPCS A4382

Ostomy pouch, urinary, for use on faceplate, heavy plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $11.48 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.98 / $30.20
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $37.15