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New Hampshire rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.77 / $76.77 / $92.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.58 / $65.66 / $82.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.37 / $136.37 / $161.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $76.45 / $81.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $104.21 / $104.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $104.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.41 / $110.41 / $340.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.79 / $68.03 / $114.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.13 / $112.34 / $142.97