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New Hampshire rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.81 / $365.81 / $438.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.96 / $283.86 / $365.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.69 / $649.69 / $770.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $315.95 / $330.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $364.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $266.04 / $388.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.02 / $526.02 / $1,623.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $324.12 / $464.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.59 / $535.25 / $681.23