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New Hampshire rates for HCPCS L1260

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

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
$40.46 / $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
$51.74 / $51.74 / $54.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $71.02
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
$32.03 / $50.83 / $77.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.22 / $78.34 / $99.71