go back

New Hampshire rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $26.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.18 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.18 / $26.30
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.45