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New Hampshire rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $3.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.46 / $3.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $3.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $12.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.50 / $3.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.71 / $4.72