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New Hampshire rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.48 / $1.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.29 / $3.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.40 / $2.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.09 / $2.66