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New Hampshire rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $29,512 · 10th–90th $16,218–$34,6740%20%40%10th90th$29,512Professionalmedian $19,498 · 10th–90th $12,589–$26,3030%20%10th90th$19,498$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $16,218.10 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $30,902.95 / $35,481.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $17,782.79 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,498.45 / $25,118.86
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $40,738.03