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New Hampshire rates for HCPCS L2037

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.75 / $1,408.75 / $1,690.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.66 / $1,093.16 / $1,410.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.92 / $2,501.92 / $2,965.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.53 / $1,130.53 / $1,197.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.51 / $1,172.51 / $1,172.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.93 / $855.93 / $1,207.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.70 / $2,025.70 / $6,252.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.12 / $1,248.18 / $1,993.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.85 / $2,061.23 / $2,623.39