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New Hampshire rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $65.56 / $78.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.66 / $58.54 / $70.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.35 / $87.35 / $87.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.46 / $116.46 / $138.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $67.73 / $70.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $88.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.30 / $94.30 / $291.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $58.10 / $83.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $101.88 / $153.87