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New Hampshire rates for HCPCS L5460

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.82 / $404.82 / $485.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.51 / $339.09 / $484.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.95 / $718.95 / $852.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.90 / $393.90 / $417.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.42 / $484.42 / $484.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $353.63 / $516.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.10 / $582.10 / $1,796.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.12 / $358.67 / $582.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.47 / $592.32 / $753.86