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New Hampshire rates for HCPCS L0974

Thoracic-Lumbar-Sacral Orthotic (Tlso), Full Corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.11 / $143.11 / $171.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $111.05 / $143.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.15 / $254.15 / $301.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.85 / $122.85 / $128.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $99.43 / $145.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.77 / $205.77 / $635.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $126.79 / $150.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.05 / $182.66 / $232.47