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New Hampshire rates for HCPCS A4338

Indwelling Catheter; Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $9.00 / $10.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $7.49 / $10.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $7.72 / $7.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $10.29 / $10.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $12.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $43.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $8.55 / $10.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $13.84 / $20.34