go back

New Hampshire rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.32 / $143.32 / $171.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $111.22 / $143.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.53 / $254.53 / $301.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $116.28 / $121.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $119.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $119.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.09 / $206.09 / $636.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.66 / $126.98 / $150.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.64 / $209.70 / $266.89