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New Hampshire rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $19.30 / $23.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $14.99 / $19.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.31 / $34.31 / $40.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $16.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $17.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.77 / $27.77 / $85.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $17.11 / $20.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $24.65 / $31.37