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New Hampshire rates for HCPCS L0174

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.34 / $232.34 / $278.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $180.30 / $232.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.64 / $412.64 / $412.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.64 / $412.64 / $489.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.65 / $186.65 / $197.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $230.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.10 / $334.10 / $1,031.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.17 / $160.66 / $180.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $204.02 / $244.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.60 / $323.52 / $486.63