go back

New Hampshire rates for HCPCS 29515

Application of short leg splint (calf to foot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.07 / $126.24 / $319.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $68.52 / $125.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.44 / $117.44 / $117.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $81.18 / $114.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.75 / $122.87 / $171.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $84.93 / $84.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $111.04 / $201.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.45 / $112.41 / $207.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $111.38 / $194.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $55.97 / $78.36