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New Hampshire rates for HCPCS L1971

Ankle foot orthosis (AFO), plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.37 / $310.37 / $372.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $240.84 / $334.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.21 / $551.21 / $653.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $230.00 / $321.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.25 / $315.25 / $315.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.13 / $230.13 / $336.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.29 / $446.29 / $1,377.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $274.99 / $463.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.14 / $432.17 / $635.29