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New Hampshire rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.45 / $53.45 / $64.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $41.47 / $53.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.91 / $94.91 / $112.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.41 / $49.41 / $52.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $60.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.84 / $76.84 / $237.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.57 / $47.35 / $75.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.02 / $74.42 / $111.95