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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
$83.18 / $83.18 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $162.18 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $74.13 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $74.13 / $128.82
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $213.80