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New Hampshire rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.49 / $2.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $10.55 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.25 / $4.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $9.03 / $11.51