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New Hampshire rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,096.48 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $489.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $501.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $870.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,445.44