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New Hampshire rates for HCPCS L5724

Addition, exoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.64 / $1,226.64 / $1,471.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.04 / $981.93 / $1,226.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,178.51 / $2,178.51 / $2,582.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.79 / $1,106.79 / $1,156.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $1,349.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $1,349.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.84 / $1,763.84 / $5,444.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.56 / $1,086.83 / $1,392.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.63 / $1,794.79 / $2,284.28