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New Hampshire rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.83 / $54.83 / $65.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $42.55 / $54.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.38 / $97.38 / $115.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.66 / $59.66 / $62.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.99 / $83.99 / $83.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.31 / $61.31 / $83.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $78.84 / $243.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.39 / $48.58 / $74.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.93 / $80.22 / $102.10