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New Hampshire rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.87 / $411.87 / $494.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.95 / $319.61 / $492.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.49 / $731.49 / $867.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.79 / $424.79 / $445.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $405.70 / $555.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.26 / $592.26 / $1,828.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.29 / $364.93 / $524.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.86 / $602.65 / $767.00