go back

New Hampshire rates for HCPCS L2415

Addition To Knee Lock With Integrated Release Mechanism ( Bail Cable Or Equal) Any Material Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.42 / $80.42 / $96.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $62.40 / $86.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.83 / $142.83 / $169.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.13 / $79.13 / $83.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $81.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $59.64 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.64 / $115.64 / $356.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $71.26 / $102.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $117.67 / $149.76