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New Hampshire rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $16.27 / $19.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $12.62 / $16.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $28.90 / $34.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $16.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $16.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $23.39 / $72.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $14.41 / $17.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $20.77 / $26.43