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New Hampshire rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.84 / $601.84 / $722.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.92 / $467.01 / $603.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.65 / $801.65 / $801.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.85 / $1,068.85 / $1,267.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.56 / $537.21 / $537.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.74 / $544.74 / $544.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.66 / $397.66 / $638.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.41 / $865.41 / $2,671.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.50 / $533.24 / $571.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.54 / $939.94 / $1,412.15