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New Hampshire rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.13 / $211.13 / $211.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.85 / $164.09 / $244.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.42 / $186.42 / $196.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $275.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.63 / $303.63 / $937.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.72 / $187.09 / $302.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.01 / $294.01 / $432.20