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New Hampshire rates for HCPCS L1834

Knee orthosis (KO), without knee joint, rigid, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $457.09 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,023.29
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,659.59