go back

New Hampshire rates for HCPCS L1832

Knee Orthosis Adjustable Knee Joints (Unicentricor Polycentric) Positional Orthosis Rigid Support Prefabricated Item That Has Been Trimmedbent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.70 / $503.55 / $604.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.90 / $397.42 / $515.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.30 / $894.30 / $1,060.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $330.00 / $437.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.80 / $335.80 / $490.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.07 / $724.07 / $2,234.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.44 / $446.15 / $612.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.29 / $701.15 / $1,054.69