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New Hampshire rates for HCPCS L1720

Legg Perthes Orthosis Trilateral (Tachdijan Type) Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.05 / $855.05 / $1,026.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.95 / $663.50 / $855.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.54 / $1,518.54 / $1,800.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.15 / $904.15 / $947.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,149.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.50 / $1,229.50 / $3,794.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.06 / $757.58 / $1,086.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.33 / $1,251.07 / $1,592.28