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New Hampshire rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.64 / $97.64 / $117.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.77 / $82.93 / $97.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.41 / $173.41 / $205.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.61 / $105.61 / $110.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $144.01 / $144.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $105.13 / $144.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $140.40 / $433.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.68 / $86.51 / $102.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $142.87 / $181.83