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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
$199.53 / $199.53 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $389.05 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $165.96 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $309.03
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $512.86