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New Hampshire rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.53 / $233.53 / $280.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $185.63 / $233.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.72 / $414.72 / $491.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.25 / $221.25 / $233.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $243.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.79 / $335.79 / $1,036.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $206.90 / $330.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.62 / $341.68 / $434.87