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New Hampshire rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

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