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New Hampshire rates for HCPCS A4306

Disposable drug delivery system, flow rate of less than 50 ml per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $12.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $16.22