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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
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.22
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
$0.54 / $0.54 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.36 / $0.54
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.62 / $0.68