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New Hampshire rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.91 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.29 / $2.40
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.95