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New Hampshire rates for HCPCS A4332

Lubricant Individual Sterile Packet Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.15