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New Hampshire rates for HCPCS A4362

Skin barrier; solid, 4 x 4 or equivalent; each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.38 / $2.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $10.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.50 / $3.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.05 / $3.88