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New Hampshire rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.96 / $524.96 / $629.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.88 / $397.42 / $524.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.49 / $538.49 / $538.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.58 / $524.58 / $621.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.22 / $453.88 / $453.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $489.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $339.94 / $489.93
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
$268.04 / $446.15 / $594.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.60 / $671.88 / $954.92