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New Hampshire rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.14 / $1,189.14 / $1,426.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.75 / $943.12 / $1,422.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.91 / $2,111.91 / $2,503.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.51 / $1,300.05 / $1,300.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,207.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $881.72 / $1,287.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.92 / $1,709.92 / $5,277.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.40 / $1,053.60 / $1,486.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.75 / $1,739.93 / $2,214.44