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New Hampshire rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $12.11 / $14.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $10.96 / $14.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $21.50 / $25.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $13.60 / $13.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $15.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $17.41 / $53.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $10.73 / $14.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $16.86 / $24.78