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New Hampshire rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $332.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.09 / $215.29 / $277.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.74 / $492.74 / $584.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.09 / $225.09 / $235.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $168.57 / $237.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.95 / $398.95 / $1,231.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.88 / $245.83 / $291.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.04 / $405.94 / $516.66