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New Hampshire rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $223.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $275.42 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $100.00 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $223.87
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $363.08