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New Hampshire rates for HCPCS L1652

Hip orthosis (HO), bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $427 · 10th–90th $234$5010%10%20%10th90th$427Professionalmedian $282 · 10th–90th $182$3890%20%10th90th$282$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$363.08
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$524.81