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New Hampshire rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.79 / $1,328.79 / $1,594.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.10 / $1,186.22 / $1,328.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,359.90 / $2,359.90 / $2,797.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.16 / $1,425.16 / $1,488.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $1,823.10 / $1,823.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,330.86 / $1,823.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.71 / $1,910.71 / $5,897.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.89 / $1,177.33 / $1,753.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.50 / $1,944.25 / $2,474.50