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New Hampshire rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.54 / $53.54 / $64.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $41.55 / $57.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.09 / $95.09 / $112.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $52.62 / $55.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $66.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $237.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.63 / $47.44 / $68.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.22 / $78.34 / $99.71