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New Hampshire rates for HCPCS A4216

Sterile Water Saline And/Or Dextrose Diluent/ Flush 10 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.27 / $0.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.31 / $0.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.59 / $3.58