go back

New Hampshire rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.22 / $556.22 / $667.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.34 / $431.62 / $599.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.86 / $987.86 / $1,171.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.72 / $487.72 / $511.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $365.83 / $534.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.83 / $799.83 / $2,468.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.56 / $492.83 / $585.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.41 / $709.96 / $903.59