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New Hampshire rates for HCPCS A4315

Insertion Tray With 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
$16.47 / $16.47 / $19.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $16.47 / $22.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $16.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.11 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $26.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $25.54 / $78.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $15.62 / $24.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $26.34 / $37.17