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New Hampshire rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.99 / $3.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $15.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.37 / $2.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.04 / $3.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.51 / $5.75