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New Hampshire rates for HCPCS L0220

Thoracic, Rib Belt, Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.38 / $84.38 / $101.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.39 / $75.00 / $84.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.86 / $149.86 / $177.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.03 / $84.03 / $88.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $86.21 / $86.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $62.93 / $91.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.33 / $121.33 / $374.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $74.76 / $88.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.24 / $123.46 / $157.13