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New Hampshire rates for HCPCS L0170

Cervical Collar Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.66 / $521.66 / $626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.01 / $404.81 / $556.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.49 / $926.49 / $1,098.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.73 / $452.73 / $463.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $454.00 / $454.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.42 / $331.42 / $483.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.14 / $750.14 / $2,315.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.14 / $462.22 / $548.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.91 / $763.30 / $971.47