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New Hampshire rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,042.59 / $4,042.59 / $4,851.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.68 / $3,136.96 / $4,042.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,179.64 / $7,179.64 / $8,510.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.23 / $3,772.23 / $3,939.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $5,010.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,813.02 / $5,813.02 / $17,941.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.89 / $3,581.84 / $4,639.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,377.30 / $5,915.03 / $7,528.22