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New Hampshire rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.73 / $83.73 / $100.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.45 / $64.97 / $92.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.69 / $148.69 / $176.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $80.98 / $80.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $65.11 / $95.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.39 / $120.39 / $371.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $74.18 / $92.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $122.51 / $155.91