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New Hampshire rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
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
$6.76 / $6.76 / $6.76
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