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New Hampshire rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $56.23 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $66.07 / $117.49
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $190.55