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New Hampshire rates for HCPCS L2134

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
$754.30 / $754.30 / $905.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.31 / $585.32 / $754.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.63 / $1,339.63 / $1,588.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.62 / $663.62 / $695.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.86 / $680.86 / $680.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $497.03 / $701.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.64 / $1,084.64 / $3,347.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.06 / $538.75 / $634.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.55 / $668.33 / $1,067.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.25 / $962.78 / $1,225.34