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New Hampshire rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.95 / $72.95 / $87.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $56.62 / $73.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.59 / $129.59 / $153.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $58.90 / $62.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $75.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $104.92 / $323.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $64.65 / $76.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.06 / $106.77 / $135.88