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New Hampshire rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.50 / $0.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.50 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $2.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $0.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.82 / $1.20