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New Hampshire rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.24 / $1.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $6.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.25 / $1.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.88 / $2.39