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New Hampshire rates for HCPCS A4400

Ostomy irrigation set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.88 / $35.88 / $43.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $33.47 / $40.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $29.08 / $29.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $46.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.69 / $55.69 / $171.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $39.10 / $55.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $50.51 / $64.29