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New Hampshire rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.06 / $14.06 / $16.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $11.78 / $16.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $18.71 / $18.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $24.95 / $29.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $17.98 / $17.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $16.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $20.20 / $62.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $12.45 / $17.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $17.93 / $22.82