go back

New Hampshire rates for HCPCS L2540

Addition To Lower Extremity Thigh/Weight Bearing Lacer Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.59 / $357.59 / $429.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.02 / $277.48 / $357.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.07 / $635.07 / $752.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.64 / $289.64 / $303.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $297.62 / $297.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $217.26 / $317.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.19 / $514.19 / $1,587.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.22 / $316.83 / $376.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.65 / $523.22 / $665.91