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New Hampshire rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.33 / $132.33 / $158.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.54 / $102.69 / $139.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.03 / $235.03 / $278.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.19 / $107.19 / $112.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $110.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $80.41 / $117.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.29 / $190.29 / $587.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $117.25 / $157.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.02 / $193.62 / $246.43