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New Hampshire rates for HCPCS L0112

Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.77 / $926.77 / $1,112.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.38 / $719.15 / $926.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.94 / $1,645.94 / $1,951.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.09 / $916.09 / $961.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $941.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $969.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.63 / $1,332.63 / $4,113.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.49 / $821.14 / $975.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.74 / $1,356.01 / $1,725.84