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New Hampshire rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.40 / $1,860.40 / $2,232.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.38 / $1,443.62 / $1,860.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,304.04 / $3,304.04 / $3,916.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.10 / $1,876.10 / $1,959.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.77 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $1,877.39 / $2,571.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.14 / $2,675.14 / $8,256.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.90 / $1,648.35 / $2,307.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.71 / $2,374.58 / $3,022.19