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New Hampshire rates for HCPCS A6154

Wound pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $10.56 / $12.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $10.56 / $13.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $8.90 / $8.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.54 / $23.54 / $23.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $24.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $10.02 / $16.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $14.87 / $18.93