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New Hampshire rates for HCPCS L2640

Addition To Lower Extremity Pelvic Control Band And Belt Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.14 / $279.14 / $334.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.81 / $216.61 / $284.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.78 / $495.78 / $587.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.70 / $221.70 / $241.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $243.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.41 / $401.41 / $1,238.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.89 / $247.34 / $293.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.31 / $408.44 / $519.83