go back

New Hampshire rates for HCPCS L5824

Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.18 / $1,204.18 / $1,445.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.98 / $991.75 / $1,434.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.58 / $2,138.58 / $2,535.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.51 / $1,124.51 / $1,174.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $1,408.48 / $1,408.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.19 / $1,028.19 / $1,450.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.51 / $1,731.51 / $5,344.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.28 / $1,066.91 / $1,383.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.73 / $1,761.90 / $2,242.42