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New Hampshire rates for HCPCS L1730

Legg Perthes Orthotic, (Scottish Rite Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.95 / $898.95 / $1,078.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.75 / $697.57 / $898.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.52 / $1,596.52 / $1,892.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.39 / $775.39 / $813.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,057.34 / $1,057.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $771.87 / $1,089.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.64 / $1,292.64 / $3,989.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.99 / $796.49 / $979.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.75 / $1,315.33 / $1,674.05