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New Hampshire rates for HCPCS L5966

Addition Endoskeletal System Hip Disarticulation Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.07 / $927.07 / $1,112.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.39 / $726.95 / $927.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.48 / $1,646.48 / $1,951.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.01 / $871.01 / $914.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $921.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.07 / $1,333.07 / $4,114.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.60 / $821.41 / $1,076.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.16 / $1,356.48 / $1,726.42