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New Hampshire rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.29 / $2.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $11.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.33 / $2.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.47 / $4.41