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New Hampshire rates for HCPCS L2330

Addition To Lower Extremity Lacer Molded To Patient Model For Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.74 / $278.74 / $334.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.69 / $256.68 / $300.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.02 / $495.02 / $586.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.63 / $262.63 / $282.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $251.87 / $363.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.81 / $400.81 / $1,237.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.64 / $246.97 / $289.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.76 / $407.84 / $519.05