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New Hampshire rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $3.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.42 / $2.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $12.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $3.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.65 / $4.65