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New Hampshire rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.37 / $292.37 / $350.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.30 / $226.87 / $292.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.24 / $519.24 / $615.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.87 / $300.87 / $315.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $282.89 / $387.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.40 / $420.40 / $1,297.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $259.04 / $307.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.90 / $427.79 / $544.46