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New Hampshire rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.39 / $305.39 / $366.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.58 / $236.98 / $328.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.37 / $542.37 / $642.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.79 / $263.79 / $277.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.13 / $439.13 / $1,355.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.39 / $270.58 / $332.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.22 / $446.84 / $568.71