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New Hampshire rates for HCPCS A4382

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

Facilitymedian $18 · 10th–90th $18–$220%20%40%90th$18Professionalmedian $27 · 10th–90th $16–$460%20%10th90th$27$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $11.48 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.50 / $30.20
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $45.71