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New Hampshire rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.66 / $827.66 / $993.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.25 / $728.70 / $989.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.92 / $1,469.92 / $1,742.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.36 / $880.36 / $932.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $913.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $666.53 / $973.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.13 / $1,190.13 / $3,673.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.88 / $733.33 / $1,097.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.93 / $1,211.02 / $1,541.30