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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
$656.56 / $656.56 / $787.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.91 / $509.48 / $658.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.04 / $1,166.04 / $1,382.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.17 / $526.17 / $558.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.73 / $565.73 / $565.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.98 / $412.98 / $582.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.09 / $944.09 / $2,913.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.82 / $581.72 / $690.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.33 / $960.66 / $1,222.66