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New Hampshire rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.33 / $275.33 / $330.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.65 / $230.06 / $329.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.98 / $488.98 / $579.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.30 / $296.30 / $312.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $305.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $223.04 / $325.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.91 / $395.91 / $1,221.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $243.95 / $367.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.23 / $402.85 / $512.72