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New Hampshire rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,049.48 / $4,049.48 / $4,859.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.12 / $3,142.30 / $4,049.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,191.84 / $7,191.84 / $8,525.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.43 / $3,670.43 / $3,899.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,870.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,822.91 / $5,822.91 / $17,972.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.94 / $3,587.93 / $5,730.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,386.44 / $5,925.08 / $7,541.02