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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
$85.11 / $85.11 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $72.44 / $117.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $165.96 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $56.23 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $131.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $218.78