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New Hampshire rates for HCPCS L1844

Knee Orthosis Single Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.40 / $1,083.40 / $1,300.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.69 / $840.69 / $1,167.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.12 / $1,924.12 / $2,280.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.47 / $1,095.47 / $1,143.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $866.46 / $1,265.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.87 / $1,557.87 / $4,808.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.94 / $959.92 / $1,139.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.10 / $1,585.21 / $2,017.54