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New Hampshire rates for HCPCS A4312

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $11.26 / $13.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.51 / $15.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $17.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $17.48 / $53.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $10.69 / $13.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $15.85 / $20.17