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New Hampshire rates for HCPCS L3170

Foot Plastic Silicone Or Equal Heel Stabilizer Prefabricated Off-The-Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $40.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.63 / $26.15 / $36.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $44.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $59.84 / $70.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $34.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $36.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $149.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.56 / $29.86 / $35.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.74 / $37.11 / $47.24