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New Hampshire rates for HCPCS K0746

Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 sq in

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.47 / $6.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $10.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22