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New Hampshire rates for HCPCS L5810

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.71 / $438.71 / $526.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.72 / $340.43 / $438.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.14 / $779.14 / $923.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.43 / $355.43 / $372.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $483.85 / $483.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $353.21 / $515.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.84 / $630.84 / $1,947.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.42 / $389.42 / $389.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $388.70 / $461.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.54 / $641.91 / $816.97