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New Hampshire rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Facilitymedian $3 · 10th–90th $3–$30%20%40%90th$3Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$2.0$5.0$10.0$20.0

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
$2.51 / $2.51 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.58 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.69 / $4.17
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $15.49