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New Hampshire rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.31 / $1,450.31 / $1,740.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.07 / $1,125.40 / $1,450.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.73 / $2,575.73 / $3,053.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.64 / $1,148.64 / $1,232.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,243.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.46 / $2,085.46 / $6,436.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.67 / $1,285.01 / $1,525.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.14 / $2,122.05 / $2,700.80