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New Hampshire rates for HCPCS L0452

Tlso Flexible Provides Trunk Support Upper Thoracic Region Produces Intracavitary Pressure To Reduce Load On The Intevertebral Disks With Rigid S Tays Or Panel(S) Includes Shoulder Straps And Closures Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $266.75 / $290.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.29 / $223.29 / $223.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $163.00 / $223.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.62 / $348.62 / $1,076.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.26 / $196.90 / $278.94