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New Hampshire rates for HCPCS K0672

Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.92 / $41.92 / $50.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $43.56 / $63.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.71 / $99.71 / $118.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.40 / $51.40 / $58.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $43.91 / $82.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $81.29 / $250.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $49.73 / $63.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.13 / $71.64 / $91.18