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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
$131.83 / $131.83 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $257.04 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $87.10 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $117.49 / $204.17
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $295.12