go back

New Hampshire rates for HCPCS L0976

Lumbar-Sacral Orthotic (Lso), Full Corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.42 / $108.42 / $130.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $84.13 / $108.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.56 / $192.56 / $228.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $109.55 / $114.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $116.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.90 / $155.90 / $481.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $96.07 / $114.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.80 / $138.38 / $176.12