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New Hampshire rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Facilitymedian $10 · 10th–90th $10–$110%20%40%90th$10Professionalmedian $15 · 10th–90th $9–$260%20%10th90th$15$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.46 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.96 / $16.60
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $25.12