go back

New Hampshire rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.33 / $76.33 / $91.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.22 / $66.34 / $76.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.56 / $135.56 / $160.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.80 / $82.80 / $86.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $112.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $109.75 / $338.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $67.63 / $80.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.52 / $111.67 / $142.13