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New Hampshire rates for HCPCS A4360

Adult Incontinence Garment (E.G. Brief Diaper) Each (Not Covered By Medicare. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.30 / $0.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $0.55