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New Hampshire rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.06 / $364.06 / $436.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $282.50 / $393.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.58 / $646.58 / $766.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.41 / $317.41 / $333.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $360.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.51 / $523.51 / $1,615.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $322.57 / $393.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.26 / $532.69 / $677.96