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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
$575.07 / $575.07 / $690.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.24 / $446.24 / $575.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.32 / $1,021.32 / $1,210.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.53 / $466.53 / $488.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $550.80 / $550.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $402.09 / $567.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.92 / $826.92 / $2,552.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.68 / $545.92 / $826.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.93 / $841.42 / $1,070.90