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New Hampshire rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.18 / $660.18 / $792.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.20 / $512.29 / $753.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.49 / $1,172.49 / $1,389.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.70 / $566.70 / $595.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $425.95 / $622.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.31 / $949.31 / $2,930.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.96 / $584.94 / $717.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.15 / $965.97 / $1,229.41