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New Hampshire rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.76 / $710.76 / $852.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.28 / $551.53 / $710.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.30 / $1,262.30 / $1,496.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.98 / $667.98 / $697.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $719.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $525.45 / $741.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.02 / $1,022.02 / $3,154.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.83 / $629.74 / $821.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.41 / $1,039.95 / $1,323.57