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New Hampshire rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.77 / $4.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.28 / $19.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.84 / $4.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.70 / $7.25