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New Hampshire rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $327.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.86 / $214.24 / $273.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.22 / $485.22 / $575.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.22 / $235.22 / $256.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $251.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $183.23 / $258.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.86 / $392.86 / $1,212.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $242.07 / $287.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.02 / $348.72 / $443.83