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New Hampshire rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.67 / $2,503.67 / $3,004.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.80 / $1,963.23 / $2,503.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.50 / $4,446.50 / $5,270.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.48 / $2,516.48 / $2,596.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,456.42 / $3,364.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.14 / $3,600.14 / $11,111.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.88 / $2,218.31 / $3,542.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.29 / $3,663.32 / $4,662.41