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New Hampshire rates for HCPCS L3906

Who Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.19 / $480.96 / $961.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.94 / $232.32 / $313.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.16 / $517.16 / $613.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.51 / $270.51 / $277.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $293.31 / $400.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.72 / $418.72 / $1,292.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $258.01 / $306.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.34 / $454.77 / $683.27