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New Hampshire rates for HCPCS L2112

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Soft Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.58 / $358.58 / $430.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $278.26 / $358.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.86 / $636.86 / $754.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $319.70 / $335.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $328.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $239.76 / $350.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.63 / $515.63 / $1,591.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $317.72 / $377.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.09 / $457.70 / $582.53