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New Hampshire rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.99 / $377.99 / $453.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.02 / $293.31 / $377.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.30 / $671.30 / $795.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.60 / $308.60 / $331.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $324.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $324.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.53 / $543.53 / $1,677.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.27 / $334.91 / $358.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.79 / $553.07 / $703.91