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New Hampshire rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.06 / $8.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $6.59 / $8.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $33.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $5.22 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.70 / $8.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.94 / $12.66