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New Hampshire rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $65.87 / $158.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.82 / $55.13 / $75.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.74 / $87.74 / $87.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.99 / $116.99 / $138.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.34 / $61.34 / $64.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $72.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.73 / $94.73 / $292.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.37 / $69.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.43 / $91.72 / $138.11