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New Hampshire rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.63 / $2,430.63 / $2,916.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.12 / $1,927.76 / $2,430.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,316.77 / $4,316.77 / $5,117.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.27 / $2,699.26 / $2,699.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,060.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,495.10 / $3,495.10 / $10,787.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.73 / $2,153.59 / $3,628.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,233.12 / $3,556.43 / $4,526.37