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New Hampshire rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $40.36 / $48.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.49 / $31.31 / $43.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $71.67 / $84.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $43.10 / $45.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $52.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $58.03 / $179.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $35.75 / $55.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.67 / $63.03 / $94.67