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New Hampshire rates for HCPCS L2425

Addition To Knee Joint Disc Or Dial Lock For Adjustable Knee Flexion Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.91 / $94.91 / $113.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.66 / $102.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.42 / $126.42 / $126.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.56 / $168.56 / $199.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $93.03 / $98.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.24 / $104.24 / $104.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $111.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $136.47 / $421.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.06 / $84.10 / $99.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.25 / $138.88 / $176.75