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New Hampshire rates for HCPCS L1812

Knee Orthosis Elastic With Joints Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.36 / $68.36 / $82.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $52.67 / $69.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.96 / $99.96 / $99.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.81 / $80.81 / $95.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $71.04 / $71.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $87.14
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 / $91.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $87.49 / $124.36