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New Hampshire rates for HCPCS A4561

Pessary, reusable, rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.65 / $14.65 / $17.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $13.67 / $16.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $12.46 / $12.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $23.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $70.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $13.91 / $16.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $21.90 / $33.08