go back

New Hampshire rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.44 / $67.44 / $80.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.80 / $59.46 / $67.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $82.15 / $82.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $69.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.49 / $188.49 / $581.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $58.66 / $126.20