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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
$4.38 / $4.38 / $5.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.38 / $4.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.47 / $14.47 / $14.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $28.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $19.55 / $29.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $11.96 / $16.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $16.95 / $20.34