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New Hampshire rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $85.43 / $102.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $72.26 / $93.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.72 / $151.72 / $179.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $82.18 / $86.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $111.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.84 / $122.84 / $379.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.46 / $75.69 / $122.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $118.94 / $178.91