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New Hampshire rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $60.26 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $25.12 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $27.54 / $48.98
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $69.18