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New Hampshire rates for HCPCS A4750

Blood Tubing Arterial Or Venous For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $6.17 / $8.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.00 / $13.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.64 / $11.58