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New Hampshire rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.94 / $444.94 / $533.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.26 / $355.59 / $532.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.21 / $790.21 / $936.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.76 / $482.76 / $504.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.80 / $639.80 / $1,974.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $394.23 / $607.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.84 / $651.02 / $828.58