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New Hampshire rates for HCPCS L8628

Cochlear Implant, Extern Controller Component, Replace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.75 / $820.75 / $984.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.88 / $653.64 / $981.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.63 / $1,457.63 / $1,727.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.27 / $1,092.50 / $1,092.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $843.35 / $843.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.85 / $716.85 / $843.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.19 / $1,180.19 / $3,642.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.80 / $727.20 / $1,037.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.95 / $1,057.05 / $1,345.33