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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
$73.86 / $73.86 / $88.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.24 / $57.32 / $73.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.18 / $131.18 / $155.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $59.92 / $62.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $63.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.22 / $106.22 / $327.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $65.45 / $106.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.71 / $94.28 / $119.99