go back

New Hampshire rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.70 / $20.70 / $24.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $19.30 / $23.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $26.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $32.11 / $99.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $19.64 / $28.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.49 / $29.14 / $37.09