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New Hampshire rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.55 / $85.55 / $102.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $66.39 / $85.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.94 / $151.94 / $180.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.41 / $69.41 / $72.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $86.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.01 / $123.01 / $379.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $75.80 / $99.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.80 / $125.18 / $159.32