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New Hampshire rates for HCPCS L2050

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.91 / $402.91 / $483.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.86 / $312.64 / $403.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.55 / $715.55 / $848.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.33 / $322.33 / $342.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.34 / $335.34 / $335.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $244.80 / $345.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.35 / $579.35 / $1,788.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.99 / $356.98 / $409.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.91 / $589.51 / $750.29