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New Hampshire rates for HCPCS L5710

Addition, exoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.45 / $274.45 / $329.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.77 / $212.97 / $274.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.40 / $487.40 / $577.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $269.00 / $275.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $279.26 / $279.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $203.86 / $287.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.64 / $394.64 / $1,218.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $287.68 / $287.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.11 / $243.16 / $331.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.06 / $401.57 / $511.08