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New Hampshire rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $4 · 10th–90th $4–$50%20%40%90th$4Professionalmedian $6 · 10th–90th $4–$110%20%10th90th$6$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
$4.37 / $4.37 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.37 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.82 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.79 / $7.41
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.30