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New Hampshire rates for HCPCS L5982

All exoskeletal lower extremity prostheses, axial rotation unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.75 / $518.75 / $622.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.87 / $402.54 / $518.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.28 / $921.28 / $1,092.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.74 / $416.74 / $442.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.58 / $500.58 / $500.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.42 / $365.42 / $533.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.92 / $745.92 / $2,302.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.41 / $459.62 / $774.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.02 / $759.02 / $966.03