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New Hampshire rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.52 / $1.41
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04