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New Hampshire rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.24 / $259.24 / $311.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.10 / $201.17 / $272.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.41 / $460.41 / $545.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.09 / $210.09 / $220.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $230.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.78 / $372.78 / $1,150.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $229.70 / $272.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.84 / $379.32 / $482.78