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New Hampshire rates for HCPCS L1945

Ankle Foot Orthosis Plastic Rigid Anterior Tibial Section (Floor Reaction) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.95 / $782.95 / $939.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.20 / $607.54 / $783.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.50 / $1,390.50 / $1,648.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.32 / $643.32 / $665.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.23 / $769.23 / $769.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $561.54 / $820.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.82 / $1,125.82 / $3,474.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.47 / $693.70 / $1,023.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.44 / $1,145.58 / $1,458.02