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New Hampshire rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $6.47 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $5.87 / $12.00