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New Hampshire rates for HCPCS L5714

Addition Exoskeletal Knee-Shin System Single Axis Variable Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.35 / $329.35 / $395.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.18 / $255.57 / $329.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.92 / $584.92 / $693.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.70 / $306.70 / $320.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $350.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.59 / $473.59 / $1,461.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.54 / $291.82 / $383.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.09 / $481.90 / $613.33