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New Hampshire rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.38 / $43.38 / $52.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $33.65 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $77.06 / $91.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $40.28 / $43.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $39.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $62.39 / $192.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $38.44 / $45.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $55.37 / $70.48