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New Hampshire rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.94 / $106.94 / $128.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $82.98 / $115.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.93 / $189.93 / $225.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $113.80 / $113.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $129.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.77 / $153.77 / $474.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $94.75 / $151.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.25 / $156.47 / $199.15