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New Hampshire rates for HCPCS A4434

Ostomy Pouch Urinary; For Use On Barrier With Locking Flange With Faucet-Type Tap With Valve (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $2.77 / $3.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.58 / $3.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.62 / $3.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.88 / $4.94