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New Hampshire rates for HCPCS L1846

Knee Orthosis Double 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
$822.24 / $822.24 / $986.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.51 / $671.22 / $886.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.31 / $1,460.31 / $1,731.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.13 / $828.15 / $828.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $896.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.33 / $1,182.33 / $3,649.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.68 / $728.53 / $960.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.71 / $1,203.08 / $1,531.19