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New Hampshire rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.41 / $1.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.36 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $1.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.13 / $2.72