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New Hampshire rates for HCPCS A4305

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

Facilitymedian $8 · 10th–90th $6–$190%20%40%10th90th$8Professionalmedian $7 · 10th–90th $5–$80%20%10th90th$7$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $12.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.89 / $12.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.89 / $12.02
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $20.42