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New Hampshire rates for HCPCS L8400

Prosthetic sheath, below knee, each

Facilitymedian $22 · 10th–90th $12–$260%10%20%10th90th$22Professionalmedian $14 · 10th–90th $10–$200%20%10th90th$14$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.44 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $14.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $12.88 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $18.62
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $26.92