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New Hampshire rates for HCPCS A7501

Tracheostoma Valve Including Diaphragm Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.12 / $77.12 / $92.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.11 / $71.95 / $88.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $93.64 / $93.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.15 / $88.15 / $88.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $74.93 / $103.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.66 / $119.66 / $369.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $62.70 / $97.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.80 / $73.20 / $89.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.69 / $108.56 / $138.16