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New Hampshire rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.74 / $294.74 / $353.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.09 / $228.71 / $294.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.46 / $523.46 / $620.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $262.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.83 / $423.83 / $1,308.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $261.14 / $423.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $431.27 / $548.88