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New Hampshire rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $4.41 / $5.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $4.12 / $5.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.85 / $21.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.19 / $7.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.20 / $7.90