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New Hampshire rates for HCPCS L2526

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.29 / $560.29 / $672.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.37 / $434.78 / $560.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.07 / $995.07 / $1,179.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.98 / $469.98 / $492.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $499.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $364.39 / $514.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.67 / $805.67 / $2,486.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.96 / $496.43 / $589.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.28 / $819.81 / $1,043.39