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New Hampshire rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $52.82 / $63.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $46.53 / $52.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.80 / $93.80 / $111.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.34 / $56.34 / $59.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $71.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.94 / $75.94 / $234.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $46.79 / $55.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.26 / $77.29 / $98.36