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New Hampshire rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.99 / $1,511.99 / $1,814.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.84 / $1,173.27 / $1,511.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,685.26 / $2,685.26 / $3,183.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.58 / $1,226.58 / $1,285.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,544.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,590.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.14 / $2,174.14 / $6,710.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.10 / $1,339.65 / $1,590.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.17 / $2,212.29 / $2,815.64