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New Hampshire rates for HCPCS L5711

Additions Exoskeletal Knee-Shin System Single Axis Manual Lock Ultra-Light Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.40 / $460.40 / $552.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.43 / $357.26 / $460.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.65 / $817.65 / $969.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.88 / $382.88 / $399.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $468.67 / $468.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $342.13 / $482.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.03 / $662.03 / $2,043.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $383.20 / $383.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.95 / $407.92 / $585.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.40 / $673.64 / $857.36