go back

New Hampshire rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.72 / $493.72 / $592.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.68 / $383.11 / $493.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.83 / $876.83 / $1,039.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.80 / $401.80 / $419.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $438.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.94 / $709.94 / $2,191.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.63 / $437.44 / $519.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.71 / $722.38 / $919.39