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New Hampshire rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $6.43 / $7.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $6.00 / $7.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $6.13 / $6.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $8.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $9.98 / $30.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $4.72 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.11 / $8.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $9.05 / $11.52