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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
$223.87 / $223.87 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $436.52 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $208.93 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $346.74
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $575.44