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New Hampshire rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.99 / $46.99 / $56.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $36.46 / $50.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.46 / $83.46 / $98.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $45.98 / $48.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.20 / $65.20 / $79.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $69.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $67.56 / $208.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $41.63 / $49.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.49 / $68.73 / $87.49