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New Hampshire rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $3.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.85 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.26 / $2.19
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.75