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New Hampshire rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.90 / $328.90 / $394.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $305.82 / $350.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.11 / $584.11 / $692.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.85 / $356.85 / $372.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $503.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.94 / $472.94 / $1,459.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $291.41 / $438.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.49 / $481.24 / $612.49