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New Hampshire rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.43 / $1,232.43 / $1,478.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.34 / $956.34 / $1,232.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,188.77 / $2,188.77 / $2,594.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.60 / $1,062.60 / $1,115.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,003.93 / $1,416.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.14 / $1,772.14 / $5,469.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.97 / $1,091.95 / $1,343.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.32 / $1,803.25 / $2,295.05