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New Hampshire rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.20 / $1,036.20 / $1,243.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.97 / $804.07 / $1,036.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.28 / $1,840.28 / $2,181.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $979.06 / $1,040.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,018.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $4,598.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.07 / $918.10 / $1,225.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.31 / $1,516.14 / $1,929.63