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New Hampshire rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.56 / $93.56 / $112.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $82.56 / $93.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $157.91 / $157.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $58.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.25 / $220.25 / $679.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $81.45 / $165.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.36 / $428.30 / $545.10