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New Hampshire rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,693.39 / $2,693.39 / $3,232.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.31 / $2,106.84 / $2,693.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.42 / $4,783.42 / $5,670.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.96 / $2,478.96 / $2,585.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $3,600.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,872.92 / $3,872.92 / $11,953.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.93 / $2,386.40 / $3,044.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,153.48 / $3,468.83 / $4,414.87