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New Hampshire rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.95 / $1,324.95 / $1,589.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.10 / $1,028.13 / $1,428.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.08 / $2,353.08 / $2,789.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.04 / $1,327.04 / $1,407.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,181.24 / $1,618.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.19 / $1,905.19 / $5,880.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.62 / $1,173.93 / $1,393.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.39 / $1,938.63 / $2,467.35