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New Hampshire rates for HCPCS L0830

Halo procedure, cervical halo incorporated into Milwaukee type orthotic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.06 / $2,376.06 / $2,851.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.85 / $1,843.77 / $2,376.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,219.84 / $4,219.84 / $5,002.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.62 / $2,151.62 / $2,254.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.59 / $2,507.59 / $2,507.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $1,830.54 / $2,582.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,416.61 / $3,416.61 / $10,545.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.49 / $2,105.23 / $2,499.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,160.52 / $3,476.57 / $4,424.72