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New Hampshire rates for HCPCS A4431

Ostomy Pouch Urinary; With Barrier Attached Withfaucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $5.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.26 / $5.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $6.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.30 / $4.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.42 / $8.18