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New Hampshire rates for HCPCS L3230

Orthopedic Footwear Custom Shoes Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.69 / $87.69 / $105.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.71 / $77.53 / $87.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.57 / $504.43 / $504.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $139.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.14 / $294.14 / $907.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $76.48 / $155.21