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New Hampshire rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.90 / $910.90 / $1,093.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.48 / $706.84 / $910.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.75 / $1,617.75 / $1,917.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.98 / $789.98 / $860.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $615.36 / $868.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.82 / $1,309.82 / $4,042.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $807.08 / $958.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.64 / $1,332.80 / $1,696.30