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New Hampshire rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $25.19 / $30.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $20.03 / $25.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.74 / $44.74 / $53.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $26.20 / $28.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $29.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $36.22 / $111.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $22.32 / $28.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.51 / $36.86 / $46.91