go back

New Hampshire rates for HCPCS L8010

Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.33 / $53.16 / $67.66