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New Hampshire rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.54 / $80.54 / $96.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $71.75 / $86.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.03 / $143.03 / $169.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.77 / $85.77 / $91.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $141.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $122.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.80 / $115.80 / $357.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.75 / $76.45 / $115.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.45 / $112.14 / $168.68