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New Hampshire rates for HCPCS A4356

External urethral clamp or compression device (not to be used for catheter clamp), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.88 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $38.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $21.38 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $47.86
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $58.88