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New Hampshire rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,513.56 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $537.03 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,230.27
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,995.26