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New Hampshire rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,428.40 / $28,428.40 / $34,114.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,568.13 / $20,847.48 / $28,428.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,823.40 / $39,823.40 / $47,206.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,036.73 / $54,000.00 / $54,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,241.78 / $45,241.78 / $45,241.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $31,019.05 / $31,019.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,414.58 / $37,414.58 / $115,480.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,948.30 / $20,922.45 / $29,640.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00