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New Hampshire rates for HCPCS L5644

Addition To Lower Extremity Above Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.79 / $523.79 / $628.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.58 / $406.44 / $523.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.22 / $930.22 / $1,102.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.10 / $433.10 / $452.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $472.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.16 / $753.16 / $2,324.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.38 / $464.08 / $622.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.71 / $766.38 / $975.39