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New Hampshire rates for HCPCS L5060

Ankle Symes Metal Frame Molded Leather Socket Articulated Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.61 / $1,866.61 / $2,239.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.45 / $1,866.61 / $1,989.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.08 / $3,315.08 / $3,929.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.27 / $2,025.27 / $2,115.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.76 / $2,637.76 / $2,637.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.56 / $1,925.56 / $2,637.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.08 / $2,684.08 / $8,284.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.57 / $1,653.86 / $2,491.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,482.89 / $2,731.18 / $3,476.05