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New Hampshire rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $39.45 / $47.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.77 / $34.76 / $39.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $49.79 / $49.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $51.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.89 / $105.89 / $326.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $34.29 / $73.65