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New Hampshire rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.84 / $26.84 / $32.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $21.28 / $32.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.66 / $47.66 / $56.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $28.86 / $30.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $31.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $38.58 / $119.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.77 / $35.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.69 / $39.26 / $49.97