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New Hampshire rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $489.78 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $812.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,318.26