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New Hampshire rates for HCPCS L3030

Foot insert, removable, formed to patient foot, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.54 / $50.54 / $60.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $50.54 / $187.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $106.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $49.10 / $75.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $44.92 / $103.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.67 / $72.67 / $224.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $44.78 / $53.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.22 / $73.94 / $94.11