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New Hampshire rates for HCPCS L8512

Gelatin capsules or equivalent, for use with tracheo-esophageal voice prosthesis, replacement only, per 10

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $2.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $6.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.54 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.27 / $1.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.85 / $2.35