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New Hampshire rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.22 / $78.22 / $93.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $60.69 / $84.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $138.91 / $164.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $76.87 / $80.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $92.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.47 / $112.47 / $347.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $69.30 / $105.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $99.84 / $127.06