go back

New Hampshire rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.68 / $159.68 / $191.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $123.90 / $159.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.58 / $283.58 / $336.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.73 / $127.73 / $135.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $160.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.60 / $229.60 / $708.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.32 / $141.47 / $238.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.28 / $203.81 / $259.39