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New Hampshire rates for HCPCS L2850

Addition to lower extremity orthosis, femoral length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $97.72 / $112.20
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
$43.65 / $43.65 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $43.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $36.31 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $44.67 / $77.62
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $112.20