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New Hampshire rates for HCPCS L3010

Foot insert, removable, molded to patient model, longitudinal arch support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $223.87 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $93.33 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $177.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $295.12