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New Hampshire rates for HCPCS L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.27 / $47.27 / $56.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $36.69 / $49.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.98 / $83.98 / $99.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $39.64 / $42.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $55.83 / $55.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.76 / $40.76 / $55.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $67.98 / $209.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.93 / $41.52 / $44.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $69.18 / $88.05