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New Hampshire rates for HCPCS L5816

Addition Endoskeletal Knee-Shin System Polycentric Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.75 / $619.75 / $743.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.84 / $480.91 / $619.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.67 / $1,100.67 / $1,304.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.60 / $623.60 / $651.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.31 / $660.31 / $660.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $482.03 / $703.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.16 / $891.16 / $2,750.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.07 / $549.11 / $767.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.36 / $906.80 / $1,154.09