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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
$275.42 / $275.42 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $208.93 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $426.58
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $602.56