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New Hampshire rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $35.48 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $60.26
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $97.72