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New Hampshire rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.99 / $338.99 / $406.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.05 / $284.63 / $405.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.54 / $451.54 / $451.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.04 / $602.04 / $713.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.89 / $365.89 / $384.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $442.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.46 / $487.46 / $1,504.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $300.36 / $452.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.92 / $496.01 / $631.29