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New Hampshire rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.81 / $731.81 / $878.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.81 / $771.32 / $955.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $2,030.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $84.85 / $121.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $86.84 / $205.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.73 / $1,306.01 / $1,662.19