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New Hampshire rates for HCPCS L5962

Addition Endoskeletal System Below Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.24 / $397.24 / $476.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $315.05 / $475.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.49 / $705.49 / $836.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.20 / $455.05 / $455.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $478.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.20 / $571.20 / $1,763.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $351.96 / $530.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.39 / $581.23 / $739.75