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New Hampshire rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.28 / $418.28 / $501.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.29 / $324.58 / $418.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.87 / $742.87 / $880.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.31 / $350.31 / $355.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $397.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.47 / $601.47 / $1,856.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.07 / $370.61 / $531.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.39 / $612.03 / $778.95