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New Hampshire rates for HCPCS L2038

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.26 / $1,209.26 / $1,451.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.83 / $938.36 / $1,209.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.63 / $2,147.63 / $2,545.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.22 / $943.22 / $1,027.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.48 / $1,006.48 / $1,006.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.73 / $734.73 / $1,006.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.84 / $1,738.84 / $5,366.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.00 / $820.00 / $820.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.29 / $1,071.43 / $1,272.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.51 / $1,769.36 / $2,251.91