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New Hampshire rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $251.19 / $288.40
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
$151.36 / $151.36 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $104.71 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $204.17
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $331.13