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New Hampshire rates for HCPCS L5610

Addition to lower extremity, endoskeletal system, above knee (AK), hydracadence system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.89 / $1,671.89 / $2,006.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.72 / $1,297.34 / $1,671.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,969.25 / $2,969.25 / $3,519.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.14 / $1,518.14 / $1,585.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.76 / $1,552.76 / $1,552.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.51 / $1,133.51 / $1,552.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.08 / $2,404.08 / $7,420.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.55 / $1,481.33 / $1,867.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.88 / $2,446.27 / $3,113.43