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New Hampshire rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $1 · 10th–90th $1–$10%20%40%90th$1Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.81 / $0.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.29 / $1.82
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $4.57