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New Hampshire rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.36 / $326.36 / $391.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.50 / $253.24 / $326.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.70 / $434.70 / $434.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.60 / $579.60 / $687.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.67 / $264.67 / $277.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $299.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.27 / $469.27 / $1,448.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.77 / $289.14 / $336.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.10 / $477.51 / $607.74