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New Hampshire rates for HCPCS A4430

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Built-In Convexity With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $7.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.84 / $7.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $9.69 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.93 / $6.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.80 / $11.20