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New Hampshire rates for HCPCS L2800

Addition To Lower Extremity Orthosis Knee Control Knee Cap Medial Or Lateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.22 / $90.22 / $108.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.51 / $70.00 / $90.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.22 / $160.22 / $189.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.28 / $72.28 / $76.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $80.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $129.72 / $400.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $79.94 / $94.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $132.00 / $168.00