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New Hampshire rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.51 / $60.51 / $72.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.22 / $53.52 / $60.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $70.91 / $70.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $47.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.91 / $159.91 / $493.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $52.80 / $107.19