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New Hampshire rates for HCPCS L2350

Addition To Lower Extremity Prosthetic Type (Bk) Socket Molded To Patient Model (Used For Ptb Afo Orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.23 / $565.23 / $678.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.61 / $535.38 / $609.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.85 / $1,003.85 / $1,189.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.41 / $604.41 / $640.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $627.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $627.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.77 / $812.77 / $2,508.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.69 / $521.16 / $584.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.87 / $500.81 / $655.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.85 / $827.04 / $1,052.58