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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
$1.37 / $1.37 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.33 / $1.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $6.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.30 / $2.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.02 / $2.58