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New Hampshire rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $31.62 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $14.13 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.13 / $25.70
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $36.31