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New Hampshire rates for HCPCS L1025

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $84.95 / $101.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $76.50 / $84.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.87 / $150.87 / $178.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $83.85 / $89.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $89.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $94.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.16 / $122.16 / $377.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $75.27 / $120.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $124.30 / $158.19