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New Hampshire rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $7.13 / $8.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.30 / $8.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.52 / $6.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $9.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $29.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.77 / $7.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $9.05 / $13.67