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New Hampshire rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.84 / $467.84 / $561.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.11 / $363.03 / $559.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.13 / $623.13 / $623.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.84 / $830.84 / $984.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.81 / $414.81 / $436.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $455.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.71 / $672.71 / $2,076.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.33 / $414.50 / $525.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.29 / $684.52 / $871.21