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
$81.28 / $81.28 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $125.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $154.88 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $67.61 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $70.79 / $125.89
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $204.17