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New Hampshire rates for HCPCS L5661

Addition To Lower Extremity Socket Insert Multi-Durometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.35 / $548.35 / $658.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.81 / $425.51 / $548.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.88 / $973.88 / $1,154.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.16 / $444.16 / $466.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $456.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $333.17 / $470.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.49 / $788.49 / $2,433.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.89 / $485.85 / $576.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.39 / $802.33 / $1,021.15