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New Hampshire rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $26.96 / $32.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $20.91 / $26.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $56.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $26.70 / $27.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $27.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $38.77 / $119.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $23.89 / $28.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.27 / $34.40 / $43.78