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New Hampshire rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,484.97 / $3,484.97 / $4,181.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.81 / $2,704.26 / $3,484.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,189.27 / $6,189.27 / $7,336.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,562.16 / $3,643.96 / $3,643.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,052.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $2,958.13 / $4,173.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.18 / $5,011.18 / $15,467.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.51 / $3,087.76 / $4,194.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,635.56 / $5,099.12 / $6,489.78