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New Hampshire rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $2.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.78 / $2.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $2.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.92 / $4.29