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New Hampshire rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.13 / $4.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $6.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $23.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.93 / $7.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.28 / $10.99