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New Hampshire rates for HCPCS L5981

All Lower Extremity Prostheses Flex-Walk System Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,190.67 / $2,190.67 / $2,628.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.91 / $1,717.78 / $2,620.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.62 / $3,890.62 / $4,611.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.37 / $2,148.37 / $2,205.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $2,533.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,150.06 / $3,150.06 / $9,722.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.99 / $1,940.99 / $2,597.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.94 / $3,205.33 / $4,079.52