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New Hampshire rates for HCPCS L3202

Orthopedic Shoe Oxford With Supinator Or Pronator Child (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $23.79 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $50.26 / $53.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $30.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $70.59 / $217.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $23.47 / $47.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $58.83 / $74.87