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New Hampshire rates for HCPCS L2010

Knee Ankle Foot Orthosis Single Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Without Knee Joint Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.91 / $663.91 / $796.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.76 / $555.55 / $663.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.08 / $1,179.08 / $1,397.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $628.75 / $664.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $740.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $540.80 / $763.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.65 / $954.65 / $2,946.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.16 / $588.23 / $680.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.10 / $971.41 / $1,236.33