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New Hampshire rates for HCPCS L5312

Knee Disarticulation (Or Through Knee) Molded Socket Single Axis Knee Pylon Each Foot Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.67 / $2,282.67 / $2,739.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.79 / $1,767.98 / $2,666.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,958.99 / $3,958.99 / $4,692.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.20 / $3,043.56 / $3,043.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,001.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.42 / $3,205.42 / $9,893.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $1,975.10 / $3,043.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,965.15 / $3,261.67 / $4,151.21