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New Hampshire rates for HCPCS L5611

Addition To Lower Extremity Endoskeletal System Above Knee - Knee Disarticulation 4 Bar Linkage With Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,451.81 / $1,451.81 / $1,742.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.58 / $1,126.57 / $1,456.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.40 / $2,578.40 / $3,056.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.71 / $1,168.71 / $1,234.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,307.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,087.62 / $2,087.62 / $6,443.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.56 / $1,286.33 / $1,485.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.14 / $2,124.25 / $2,703.60