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New Hampshire rates for HCPCS L1640

Hip Orthosis Abduction Control Of Hip Joints Static Pelvic Band Or Spreader Bar Thigh Cuffs Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.27 / $390.27 / $468.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.15 / $302.83 / $420.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.12 / $693.12 / $821.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.12 / $316.12 / $331.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $379.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.19 / $561.19 / $1,732.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.53 / $345.79 / $410.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.12 / $571.03 / $726.77