go back

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
$267.47 / $267.47 / $320.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.04 / $207.55 / $274.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.01 / $475.01 / $563.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.24 / $220.24 / $233.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $292.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.59 / $384.59 / $1,187.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $236.98 / $281.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.77 / $391.35 / $498.08