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New Hampshire rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.70 / $40.70 / $48.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $34.79 / $40.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.28 / $72.28 / $85.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $39.13 / $39.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $47.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $58.53 / $180.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $36.06 / $46.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.13 / $59.54 / $75.78