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New Hampshire rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.96 / $99.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.63 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.85 / $2.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $4.53 / $6.95