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New Hampshire rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,367.79 / $3,192.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $20,162.41 / $35,151.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.81 / $953.81 / $953.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00