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New Hampshire rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $549.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $398.11 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $891.25
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,445.44