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New Hampshire rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $29.51 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $60.26