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New Hampshire rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $0.97 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.90 / $1.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.91 / $1.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.35 / $1.72