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New Hampshire rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.53 / $1.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $7.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.55 / $2.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.29 / $2.93