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New Hampshire rates for HCPCS L2020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.05 / $942.05 / $1,130.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.12 / $731.01 / $988.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.07 / $1,673.07 / $1,983.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.54 / $792.54 / $839.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $830.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $606.53 / $885.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.61 / $1,354.61 / $4,181.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.45 / $834.68 / $1,073.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.08 / $1,378.39 / $1,754.31