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New Hampshire rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Facilitymedian $74 · 10th–90th $41$870%20%10th90th$74Professionalmedian $48 · 10th–90th $29$660%20%10th90th$48$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $79.43 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $39.81 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $63.10
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $104.71