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New Hampshire rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $63.10 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $141.25 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $48.98 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $66.07 / $114.82
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $162.18