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New Hampshire rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $62.94 / $75.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.04 / $144.04 / $170.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.71 / $83.71 / $83.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $61.11 / $83.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.62 / $116.62 / $359.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.37 / $68.59 / $76.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $71.86 / $95.83