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New Hampshire rates for HCPCS 29505

Application of long leg splint (thigh to ankle or toes)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $154.88 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $87.10 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $102.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $229.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $128.82 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $109.65 / $229.09
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $109.65