go back

New Hampshire rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $8.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.76 / $8.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $6.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $9.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $11.24 / $34.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.88 / $10.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $10.19 / $12.98