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New Hampshire rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.75 / $57.75 / $69.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $44.81 / $67.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.55 / $102.55 / $121.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $53.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $59.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $63.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $83.04 / $256.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $51.16 / $64.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $84.49 / $107.53