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New Hampshire rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Facilitymedian $129 · 10th–90th $72–$1550%20%40%10th90th$129Professionalmedian $78 · 10th–90th $48–$1120%20%10th90th$78$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $61.66 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $138.04 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $63.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $72.44 / $112.20
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $181.97