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New Hampshire rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.89 / $2.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $9.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.92 / $2.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.85 / $3.63