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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
$85.11 / $85.11 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $162.18 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $67.61 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $131.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $213.80