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New Hampshire rates for HCPCS L2035

Knee-ankle-foot orthosis (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.67 / $116.67 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $90.53 / $116.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.20 / $207.20 / $245.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.28 / $114.28 / $119.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.05 / $147.05 / $147.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.35 / $107.35 / $147.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.77 / $167.77 / $517.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $102.45 / $122.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.37 / $148.91 / $189.52