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New Hampshire rates for HCPCS L5676

Additions To Lower Extremity Below Knee Knee Joints Single Axis Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.79 / $320.79 / $384.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.23 / $248.92 / $326.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.73 / $569.73 / $675.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.39 / $263.39 / $277.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $289.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.28 / $461.28 / $1,423.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.49 / $284.23 / $334.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.70 / $469.37 / $597.38