go back

New Hampshire rates for HCPCS L5618

Addition to lower extremity, test socket, Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.42 / $253.42 / $304.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $196.65 / $268.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.07 / $450.07 / $533.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.69 / $214.69 / $215.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $198.33 / $289.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.41 / $364.41 / $1,124.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.69 / $224.54 / $266.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.08 / $370.79 / $471.91