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New Hampshire rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $67.15 / $178.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.07 / $50.85 / $59.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $65.16 / $65.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.81 / $72.81 / $86.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $59.85 / $62.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $71.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $246.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $49.17 / $82.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.76 / $72.91 / $105.25