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New Hampshire rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $691.83 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $257.04 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $562.34
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $794.33