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New Hampshire rates for HCPCS A4399

Ostomy Irrigation Supply; Cone/Catheter With Or Without Brush Cm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $8.72 / $10.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $8.41 / $10.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $43.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $8.27 / $13.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $13.84 / $20.34