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New Hampshire rates for HCPCS L2275

Addition To Lower Extremity Varus/Valgus Correction Plastic Modification Padded/Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.52 / $83.52 / $100.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.36 / $70.48 / $90.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.83 / $103.83 / $111.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.33 / $148.33 / $175.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.06 / $85.06 / $90.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $109.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.09 / $120.09 / $370.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $74.00 / $118.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $130.44 / $195.96