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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
$239.88 / $239.88 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $457.09 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $165.96 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $371.54
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $524.81