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New Hampshire rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.18 / $726.18 / $871.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.05 / $563.50 / $868.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.67 / $1,289.67 / $1,528.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.29 / $699.29 / $738.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $679.22 / $947.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.18 / $1,044.18 / $3,222.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.93 / $643.40 / $869.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.93 / $1,062.52 / $1,352.30