go back

New Hampshire rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.72 / $29.72 / $35.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $27.73 / $33.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $28.34 / $28.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $35.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $39.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $46.13 / $142.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $28.22 / $34.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $41.84 / $53.26