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New Hampshire rates for HCPCS L2134

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,445.44 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $676.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $549.54 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,174.90
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,659.59