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New Hampshire rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.03 / $236.03 / $283.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.52 / $183.16 / $236.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.18 / $419.18 / $496.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $233.68 / $244.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $252.01 / $252.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $183.97 / $268.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.40 / $339.40 / $1,047.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.41 / $209.13 / $250.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.88 / $301.27 / $383.43