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New Hampshire rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $512.86 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $245.47 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $416.87
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $676.08