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New Hampshire rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.18 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.25 / $0.44
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44