go back

New Hampshire rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,338.69 / $2,338.69 / $2,806.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.66 / $1,814.78 / $2,797.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,153.49 / $4,153.49 / $4,923.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.37 / $2,859.80 / $2,859.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $2,481.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $2,909.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.89 / $3,362.89 / $10,379.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.08 / $2,698.17 / $2,952.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.42 / $2,072.13 / $2,961.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,110.84 / $3,421.92 / $4,355.18