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New Hampshire rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.64 / $776.64 / $931.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $105.00 / $776.64