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New Hampshire rates for HCPCS L2265

Addition To Lower Extremity Long Tongue Stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.61 / $99.61 / $119.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $77.29 / $101.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.90 / $176.90 / $209.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $79.14 / $84.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $106.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $77.54 / $113.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $143.22 / $442.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $68.88 / $68.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $88.25 / $101.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.49 / $145.74 / $185.49