go back

New Hampshire rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.60 / $873.60 / $1,048.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.89 / $677.89 / $904.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.50 / $1,551.50 / $1,839.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.95 / $722.95 / $768.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $752.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.19 / $1,256.19 / $3,877.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.02 / $774.03 / $919.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.02 / $1,278.22 / $1,626.83