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New Hampshire rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $0.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.45 / $0.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.52 / $2.24