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New Hampshire rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.16 / $468.16 / $561.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.48 / $363.29 / $468.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.46 / $831.46 / $985.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $461.60 / $461.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $415.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.18 / $673.18 / $2,077.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.52 / $414.80 / $492.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.73 / $685.00 / $871.82