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New Hampshire rates for HCPCS L2250

Addition To Lower Extremity Foot Plate Molded To Patient Model Stirrup Attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.41 / $225.41 / $270.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.91 / $178.52 / $242.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.31 / $400.31 / $474.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.52 / $242.52 / $255.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $252.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $252.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.12 / $324.12 / $1,000.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $199.71 / $237.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.82 / $329.80 / $419.75