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New Hampshire rates for HCPCS A4311

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $11.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.61 / $12.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $16.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $15.92 / $49.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $9.27 / $11.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $14.44 / $18.38