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New Hampshire rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $61.66 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $125.89 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $60.26 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $102.33
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $144.54