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New Hampshire rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.37 / $238.37 / $286.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.33 / $184.97 / $238.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.32 / $423.32 / $501.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.57 / $205.57 / $215.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $224.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.74 / $342.74 / $1,057.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.79 / $211.19 / $355.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.58 / $304.24 / $387.21