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New Hampshire rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.59 / $92.59 / $111.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $71.84 / $92.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.43 / $164.43 / $194.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.53 / $74.53 / $78.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $58.23 / $85.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $133.13 / $410.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.69 / $82.03 / $97.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.16 / $135.47 / $172.42