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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
$30.16 / $30.16 / $36.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $24.15 / $32.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.56 / $53.56 / $63.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $32.25 / $34.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $39.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $43.37 / $133.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $26.72 / $35.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $44.13 / $56.17