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New Hampshire rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,415.55 / $3,415.55 / $4,098.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.38 / $2,708.91 / $4,085.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,065.98 / $6,065.98 / $7,190.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.79 / $3,688.79 / $3,870.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $3,904.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,911.35 / $4,911.35 / $15,158.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.50 / $3,026.25 / $4,558.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,543.22 / $4,997.54 / $6,360.51