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New Hampshire rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.83 / $266.83 / $320.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $207.05 / $266.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.89 / $473.89 / $561.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.46 / $216.46 / $226.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $243.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.69 / $383.69 / $1,184.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $236.42 / $280.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.93 / $390.42 / $496.90