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New Hampshire rates for HCPCS L5812

Addition Endoskeletal Knee-Shin System Single Axis Friction Swing And Stance Phase Control (Safety Knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.15 / $497.15 / $596.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.00 / $385.78 / $544.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.93 / $882.93 / $1,046.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.21 / $411.21 / $432.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $503.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.87 / $714.87 / $2,206.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.66 / $440.48 / $523.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.28 / $727.41 / $925.79