go back

New Hampshire rates for HCPCS L2030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.05 / $764.05 / $916.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.08 / $608.67 / $764.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.95 / $1,356.95 / $1,608.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.45 / $705.45 / $728.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $713.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $520.60 / $760.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.67 / $1,098.67 / $3,391.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.31 / $725.34 / $1,098.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.32 / $1,117.95 / $1,422.85