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New Hampshire rates for HCPCS L1290

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
$37.93 / $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
$53.11 / $53.11 / $56.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $64.55
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
$33.24 / $47.44 / $56.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.22 / $78.34 / $99.71