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New Hampshire rates for HCPCS L1980

Ankle Foot Orthosis Single Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Single Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.14 / $301.14 / $361.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.16 / $233.68 / $324.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.85 / $534.85 / $634.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.12 / $242.12 / $263.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $273.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $291.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.03 / $433.03 / $1,336.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.88 / $266.83 / $316.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.57 / $440.63 / $560.79