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New Hampshire rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.43 / $730.43 / $876.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.64 / $566.79 / $730.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.22 / $1,297.22 / $1,537.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.89 / $694.89 / $729.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $714.02 / $714.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $521.23 / $735.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.31 / $1,050.31 / $3,241.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.45 / $647.16 / $914.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.58 / $1,068.74 / $1,360.21