go back

New Hampshire rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.21 / $57.21 / $68.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $44.40 / $58.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.61 / $101.61 / $120.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $45.68 / $48.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $58.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.28 / $82.28 / $253.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $50.69 / $60.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $83.71 / $106.54