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New Hampshire rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $41.69 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $22.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.62 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.05 / $33.88
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $54.95