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New Hampshire rates for HCPCS L0113

Cranial Cervical Orthosis Torticollis Type With Or Without Joint With Or

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.83 / $188.83 / $226.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.02 / $146.53 / $188.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.36 / $335.36 / $397.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.63 / $183.63 / $196.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $192.25 / $192.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $140.34 / $192.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.52 / $271.52 / $838.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.54 / $167.30 / $214.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.10 / $241.01 / $306.74