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New Hampshire rates for HCPCS A5102

Bedside drainage bottle with or without tubing, rigid or expandable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.46 / $16.46 / $19.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $15.35 / $16.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $16.45 / $16.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $16.11 / $22.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $25.53 / $78.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $15.62 / $25.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $23.17 / $29.48