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New Hampshire rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $284.27 / $341.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.56 / $220.59 / $284.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.87 / $504.87 / $598.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.17 / $258.69 / $258.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $277.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.77 / $408.77 / $1,261.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $251.87 / $322.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.63 / $313.08 / $398.48