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New Hampshire rates for HCPCS L2768

Orthotic Side Bar Disconnect Device, Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.27 / $86.27 / $103.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.05 / $66.94 / $92.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.19 / $153.19 / $181.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $84.59 / $89.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $105.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $124.05 / $382.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $76.43 / $128.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.75 / $126.23 / $160.65