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New Hampshire rates for HCPCS L1025

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

Facilitymedian $155 · 10th–90th $85$1820%10%20%10th90th$155Professionalmedian $105 · 10th–90th $72$1410%20%10th90th$105$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$131.83
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$213.80