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New Hampshire rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.17 / $657.17 / $788.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.91 / $509.95 / $691.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.14 / $1,167.14 / $1,383.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.32 / $532.32 / $558.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $447.45 / $653.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.98 / $944.98 / $2,916.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.18 / $577.08 / $655.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.18 / $582.27 / $691.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.14 / $961.55 / $1,223.80