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New Hampshire rates for HCPCS A4231

Infusion Set For External Insulin Pump Needle Type (Special Coverage Instructions Apply. See Cim: 60-14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $24.22 / $29.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $24.22 / $24.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $9.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57