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New Hampshire rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $16.22 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.78 / $28.84
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $41.69