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New Hampshire rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $13.09 / $17.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $27.83 / $27.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $41.67 / $41.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $41.67 / $41.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $19.04 / $24.23