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New Hampshire rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.95 / $1,230.95 / $1,477.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.04 / $955.20 / $1,230.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.16 / $2,186.16 / $2,591.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.83 / $1,047.83 / $1,097.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $885.22 / $1,249.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.03 / $1,770.03 / $5,463.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.10 / $1,090.65 / $1,168.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.37 / $1,801.11 / $2,292.32