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New Hampshire rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.13 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $4.57 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.76 / $10.00
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $12.30