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New Hampshire rates for HCPCS L1230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.47 / $405.47 / $486.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.07 / $314.63 / $405.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.10 / $720.10 / $853.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.02 / $375.02 / $408.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $412.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.02 / $583.02 / $1,799.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.50 / $359.24 / $426.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.33 / $593.26 / $755.06