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New Hampshire rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.38 / $345.38 / $414.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.55 / $268.00 / $345.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.39 / $613.39 / $727.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $323.52 / $343.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $393.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.63 / $496.63 / $1,532.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.01 / $306.01 / $488.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.41 / $505.35 / $643.16