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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
$85.11 / $85.11 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $165.96 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $70.79 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $131.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $213.80