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New Hampshire rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.57 / $224.57 / $269.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $174.26 / $224.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.16 / $237.16 / $281.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.68 / $197.68 / $206.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $229.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.92 / $322.92 / $996.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.85 / $198.97 / $317.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.84 / $247.32 / $314.77