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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
$269.15 / $269.15 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $512.86 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $186.21 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $416.87
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $676.08