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New Hampshire rates for HCPCS L2755

Addition To Lower Extremity Orthosis High Strength Lightweight Material All

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.49 / $86.49 / $103.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $67.11 / $93.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.61 / $153.61 / $182.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $84.87 / $89.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $94.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.36 / $124.36 / $383.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $76.63 / $90.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.04 / $126.54 / $161.06