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New Hampshire rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $9.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.51 / $14.45
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $17.78