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New Hampshire rates for HCPCS L1005

Tension Based Scoliosis Orthosis And Accessory Pads Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.31 / $2,119.31 / $2,543.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.03 / $1,644.54 / $2,284.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.92 / $3,763.92 / $4,461.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.37 / $2,048.37 / $2,198.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $1,698.53 / $2,480.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.47 / $3,047.47 / $9,406.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.84 / $1,877.77 / $2,229.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.16 / $2,705.08 / $3,442.82