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New Hampshire rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.47 / $132.47 / $158.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.62 / $102.79 / $132.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.26 / $235.26 / $278.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.98 / $105.98 / $112.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $129.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $190.49 / $587.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $117.37 / $125.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.71 / $169.08 / $215.19