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New Hampshire rates for HCPCS L0190

Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $741.31 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $416.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $288.40 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $588.84
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $851.14