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New Hampshire rates for HCPCS L2627

Addition To Lower Extremity Pelvic Control Plastic Molded To Patient Model Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.94 / $1,449.94 / $1,739.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.79 / $1,125.11 / $1,449.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.08 / $2,575.08 / $3,052.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.26 / $1,176.26 / $1,232.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,206.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $1,243.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.92 / $2,084.92 / $6,435.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.45 / $1,284.68 / $1,722.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.65 / $2,121.52 / $2,700.11