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New Hampshire rates for HCPCS L5636

Addition To Lower Extremity Symes Type Medial Opening Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.60 / $229.60 / $275.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $178.16 / $229.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.76 / $407.76 / $483.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $186.03 / $195.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $202.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.15 / $330.15 / $1,019.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.62 / $203.43 / $241.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.39 / $335.94 / $427.56