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New Hampshire rates for HCPCS A4385

Ostomy Skin Barrier Solid 4x4 Or Equivalent Extended Wear Without Built-In Convexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.49 / $4.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $5.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $17.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $4.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.27 / $6.71