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New Hampshire rates for HCPCS L5632

Addition To Lower Extremity Symes Type Ptb Brim Design Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.03 / $171.03 / $205.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $132.72 / $200.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.75 / $303.75 / $360.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.07 / $175.88 / $175.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $177.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.92 / $245.92 / $759.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.02 / $151.53 / $204.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.49 / $250.24 / $318.49