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New Hampshire rates for HCPCS A4436

Irrigation supply; sleeve, reusable, per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $19.95
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $26.92