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New Hampshire rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.85 / $199.85 / $239.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.47 / $155.08 / $199.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.94 / $354.94 / $420.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.22 / $191.22 / $202.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $205.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $149.72 / $218.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.38 / $287.38 / $887.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.05 / $177.08 / $298.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.83 / $292.42 / $372.18