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New Hampshire rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.52 / $2,941.52 / $3,529.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.32 / $2,282.56 / $3,518.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,224.10 / $5,224.10 / $6,192.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.43 / $2,704.43 / $2,839.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,029.93 / $2,964.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,229.72 / $4,229.72 / $13,055.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.50 / $2,606.26 / $3,344.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,912.68 / $4,303.95 / $5,477.75