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New Hampshire rates for HCPCS A4461

Surgical dressing holder, nonreusable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.42 / $3.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $2.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $5.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.29 / $3.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.71 / $5.45