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New Hampshire rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.33 / $1,467.33 / $1,760.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.51 / $1,138.60 / $1,467.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.94 / $2,605.94 / $3,089.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.47 / $1,243.47 / $1,298.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $1,271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.44 / $928.44 / $1,309.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.92 / $2,109.92 / $6,512.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.72 / $1,300.08 / $1,553.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.61 / $1,872.87 / $2,383.65