go back

New Hampshire rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.79 / $196.79 / $236.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.59 / $152.71 / $196.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.51 / $349.51 / $414.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.23 / $187.23 / $195.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $227.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.98 / $282.98 / $873.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $174.37 / $235.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $287.95 / $366.48