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New Hampshire rates for HCPCS A5102

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

Facilitymedian $17 · 10th–90th $17–$200%20%40%90th$17Professionalmedian $22 · 10th–90th $15–$420%20%10th90th$22$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.72 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $27.54
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $41.69