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New Hampshire rates for HCPCS A7521

Tracheostomy/laryngectomy tube, cuffed, polyvinyl chloride (PVC), silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $39.81 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.88 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.11 / $57.54
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $57.54 / $69.18