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New Hampshire rates for HCPCS L5682

Addition To Lower Extremity Below Knee Thigh Lacer Gluteal/Ischial Molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.53 / $563.53 / $676.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.20 / $437.28 / $576.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.82 / $1,000.82 / $1,186.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.56 / $456.56 / $479.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $354.47 / $517.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.31 / $810.31 / $2,501.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.86 / $499.30 / $797.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.58 / $824.54 / $1,049.41