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New Hampshire rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.18 / $1,127.18 / $1,352.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.01 / $1,091.94 / $1,130.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.86 / $2,001.86 / $2,373.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.98 / $1,136.98 / $1,200.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $932.55 / $1,471.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.81 / $1,620.81 / $5,002.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.80 / $998.71 / $1,229.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.32 / $1,649.25 / $2,099.05