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New Hampshire rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,174.90 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $524.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $416.87 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $933.25
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,548.82