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New Hampshire rates for HCPCS L5978

All Lower Extremi Prostheses, Foot, Multiaxial Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.02 / $251.02 / $301.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.41 / $194.78 / $251.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.79 / $445.79 / $528.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $218.27 / $223.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $177.53 / $259.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.94 / $360.94 / $1,114.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.27 / $222.40 / $355.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.88 / $367.27 / $467.43