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New Hampshire rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.06 / $210.06 / $252.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.53 / $173.85 / $226.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.06 / $373.06 / $442.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $222.79 / $238.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.05 / $302.05 / $932.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.72 / $193.68 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $186.11 / $238.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.42 / $307.36 / $391.19