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New Hampshire rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.04 / $1,625.04 / $1,950.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.96 / $1,260.99 / $1,625.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.03 / $2,886.03 / $3,421.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.39 / $1,339.39 / $1,459.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,094.98 / $1,599.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.69 / $2,336.69 / $7,212.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.87 / $1,439.81 / $1,709.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.55 / $2,377.71 / $3,026.17