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New Hampshire rates for HCPCS L1220

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $168.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.05 / $133.12 / $151.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.59 / $249.59 / $295.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.94 / $150.94 / $159.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $185.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.08 / $202.08 / $623.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $124.52 / $147.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $205.62 / $261.70