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New Hampshire rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.10 / $30.10 / $36.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $26.37 / $30.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.45 / $53.45 / $63.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.13 / $30.13 / $31.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $30.91 / $30.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $22.56 / $31.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.29 / $43.29 / $133.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $26.67 / $44.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.92 / $38.40 / $48.89