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New Hampshire rates for HCPCS L5050

Ankle, Symes, Molded Socket, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,841.18 / $1,841.18 / $2,209.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.08 / $1,428.71 / $2,086.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,269.91 / $3,269.91 / $3,876.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.19 / $1,722.19 / $1,757.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $1,521.41 / $2,221.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,647.50 / $2,647.50 / $8,171.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.04 / $1,884.01 / $2,061.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.55 / $1,631.32 / $2,102.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.06 / $2,693.97 / $3,428.68