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New Hampshire rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $20.52 / $24.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $18.30 / $20.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $39.11 / $39.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $76.48 / $236.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $18.05 / $36.45