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New Hampshire rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.11 / $201.11 / $241.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.63 / $160.68 / $201.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.19 / $357.19 / $423.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $183.50 / $192.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $218.57 / $218.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $159.56 / $225.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.20 / $289.20 / $892.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.80 / $178.20 / $211.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.37 / $256.70 / $326.72