go back

New Hampshire rates for HCPCS L5716

Addition Exoskeletal Knee-Shin System Polycentric Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.73 / $591.73 / $710.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.65 / $459.17 / $591.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.90 / $1,050.90 / $1,245.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.42 / $534.42 / $558.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $673.11 / $673.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $491.37 / $693.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.86 / $850.86 / $2,626.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.52 / $524.28 / $657.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.09 / $865.80 / $1,101.93