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New Hampshire rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.54 / $600.54 / $720.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.67 / $466.02 / $718.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.57 / $1,066.57 / $1,264.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.85 / $582.85 / $611.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $783.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.56 / $863.56 / $2,665.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.63 / $718.97 / $863.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.83 / $878.71 / $1,118.35