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New Hampshire rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.64 / $1.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $8.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.29 / $4.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.29 / $3.29