go back

New Hampshire rates for HCPCS L1685

Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,949.84 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,548.82
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $2,570.40