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New Hampshire rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.15 / $58.15 / $69.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $54.86 / $58.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.26 / $103.26 / $122.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.90 / $62.90 / $65.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $55.09 / $75.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.61 / $83.61 / $258.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $51.52 / $61.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $85.07 / $108.28