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New Hampshire rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $58.88 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $38.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $27.54 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $46.77
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $75.86